Benchmark Pt - Shallowford

LBN: Independent Physical Therapy Of Ga, Llc
Benchmark Pt - Shallowford is an health care organization with primary practice located at 3855 Shallowford Rd 415, Marietta GA 30062-4195. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Independent Physical Therapy Of Ga, Llc can be contacted via phone (678) 352-0828, or through Johaneson, Kevin via phone (423) 238-3220.

Contact Information

Primary practice address
3855 Shallowford Rd 415 Marietta GA 30062-4195
Phone: (678) 352-0828
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johaneson, Kevin
Phone: (423) 238-3220

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1043672678
LBN Legal business name Independent Physical Therapy Of Ga, Llc
DBA Doing business as Benchmark Pt - Shallowford
Authorized official Johaneson, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2016
Last updated Mar 23rd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers