Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
Deactivated OrganizationINDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC is a Physical Therapy Assistant organization located in DEMOREST, Georgia. NPI 1467556829 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · DEMOREST, GA
This NPI has been deactivated.
The record was deactivated on December 15, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1467556829
- Provider Type
- Organization
- NPI Issued
- Sep 7, 2006 (0.27123287671233 yrs)
- Last Updated
- Oct 3, 2025
- Deactivated
- Dec 15, 2006
Practice Information
- Address
-
590 441 HISTORIC HWY N STE EDEMOREST, GA, 305354561Browse GA providers · Browse ZIP 30535
- Phone
- 7067546611
- Fax
- 7067545834
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Speech, Language and Hearing Specialist
- Additional Specialty
- Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.