Independent Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INDEPENDENT PHYSICAL THERAPY

Practice address

132 Newport Towne Ctr
Newport, TN 37821-7360

Phone

(423) 623-2890

Fax

(423) 623-2924

NPI assigned

May 16, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Troy Bage

Title

President

Phone

(423) 238-7217

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BenchMark Physical Therapy Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamara Lee Carver, PT

  • Physical Therapist
  • Newport, TN
  • NPI 1790809598
  NPD (past)
• Emily Jean Dumont, DPT

  • Physical Therapist
  • Newport, TN
  • NPI 1043565138
  NPD (past)
• Benjamin Wesley England, PTA

  • Physical Therapy Assistant
  • Newport, TN
  • NPI 1114261807
  NPD (past)
• Kori N Eytcheson, MPT

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1811160302
  NPD (past)
• Heather L Glenn, PTA

  • Physical Therapy Assistant
  • Newport, TN
  • NPI 1740503127
  NPD (past)
• Ashley Page Southerland, PTA

  • Physical Therapy Assistant
  • Newport, TN
  • NPI 1558682971
  NPD (past)
• Aubrey Glenn Thompson Jr., PT

  • Physical Therapist
  • Crossville, TN
  • NPI 1568636397
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1033386263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 NEWPORT TOWNE CTR",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378217360",
            "telephone_number": "423-623-2890",
            "fax_number": "423-623-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "BAGE",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-238-7217"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST GROUP #",
            "identifier": "3156797",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03650060",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BenchMark Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathryn R Hunt, MD
• Emily Hurley
• Tina Marie Hurley, FNP-C
• Timothy Scott Hurst, D.D.S.
• Mariah Huskey, LMSW
• Independent Physical Therapy
• Heather Ingram, FNP-C
• Amber Elise Ivey
• Jabos Pharmacy Inc
• James a Yandell

• All providers in Newport, TN
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.