Benchmark Physical Therapy of VA, LLC
Organization Active NPI Physical Therapist · Ooltewah, TN
NPI 1073981114 · NPPES record last updated Sep 7, 2015
Key facts
- NPI
- 1073981114
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- BENCHMARK PHYSICAL THERAPY OF VA, LLC
- Practice address
- 8823 Production LN
Ooltewah, TN 37363-6511 - Phone
- (423) 238-7217
- Fax
- (423) 238-3473
- NPI assigned
- Sep 7, 2015
- Organization subpart
- No
Authorized official
- Name
- Kevin Johanneson
- Title
- VP Revenue Cycle
- Phone
- (423) 238-8923
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 16
Practitioners 114
-
Thomas Shayne Rollins, PT, DPT
-
Michelle Beamer, DPT
-
Braden F Cook, DPT
-
Katelyn Y Dimeo, PT, DPT
-
Jennifer Fearon, DPT
-
Caitlyn Friday, DPT
-
Victoria Hope Harris, DPT, PT
-
Derek Holley, DPT
-
Jobin V James, DPT
-
Colleen E Karn, PT
-
Andrew Lee, DPT
-
Mackenzie M Maison, PT DPT
-
Adam Robert Pugh, DPT, L/ATC
-
Mark M Rau, PT, MPT
-
Erica J Sheaves, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151207001771 | VA | Part B Supplier - Clinic/Group Practice | 3870893274 |
Receives reassigned benefits from 109 practitioners 1 other NPI on this enrollment Practice locations: Woodbridge, VA; Winchester, VA; Warrenton, VA; Staunton, VA; Midlothian, VA; Greenville, VA; Mechanicsville, VA; Glen Allen, VA… |
National Provider Directory
- Tax ID family
- Benchmark Physical Therapy of VA LLC
Locations
14805 Forest Rd
Ste 227
Forest, VA 24551
Phone (434) 817-1065
101 W 14th St
Front Royal, VA 22630
Phone (540) 636-3500
14370 Lee Hwy
Gainesville, VA 20155
Phone (540) 347-9220
1141 N Main St
Ste 41
Marion, VA 24354
Phone (276) 781-0929
13907 Midlothian Tpke
Midlothian, VA 23113
Phone (804) 486-7112
1609 N Coalter St
Staunton, VA 24401
Phone (540) 213-1320
729 Richmond Ave
Ste A
Staunton, VA 24401
Phone (540) 569-2390
526 Fletcher Dr
Warrenton, VA 20186
Phone (540) 340-3690
1808 Plaza Dr
Winchester, VA 22601
Phone (540) 665-2750
1140 N Main St Ste 41
Marion, WI 54950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
8823 Production LN
Ooltewah, TN 37363-6511
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other providers in Ooltewah, TN
- Lindsay Beckler
- Bella Spa
- Benchmark Healthcare Services LLC
- Benchmark Healthcare Services, LLC
- Benchmark Physical Therapy of North Carolina LLC
- Benchmark Physical Therapy of Wa
- Kristine Elizabeth Berard-Whitfield
- Tyree Jason Berlin
- Bi-Lo Pharmacy
- Billy J Allen MD PC
All providers in Ooltewah, 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 Sep 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.