Independent Physical Therapy LLC
Organization Active NPI Physical Therapist · Etowah, TN
NPI 1043487754 · NPPES record last updated Nov 14, 2019
Key facts
- NPI
- 1043487754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY LLC
- Practice address
- 878 Highway 411 N
Etowah, TN 37331-1912 - Phone
- (423) 263-7070
- Fax
- (423) 263-7077
- NPI assigned
- May 12, 2008
- Organization subpart
- No
Authorized official
- Name
- Kevin Johanneson
- Title
- VP Revenue Cycle
- Phone
- (423) 238-7217
Corporate family (same tax ID) 14
Practitioners 1
-
Troy Dale Bage, PT
National Provider Directory
- Tax ID family
- Independent Physical Therapy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
878 Highway 411 N
Etowah, TN 37331-1912
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-7217
Other names
- BenchMark Physical Therapy
Other providers in Etowah, TN
- Alicia Fulbright
- Jessica Lyn Gregory
- Amber Hazlewood
- Daniel Dorn Hignight Jr.
- Mary Marcella Huff
- Internal Medicine Associates of McMinn County PC
- Jeffrey Allan Anderson
- Jeffrey Allan Anderson
- Lauren Jenkins
- K-VA-T Food Stores Inc
All providers in Etowah, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.