Independent Physical Therapy
Organization Active NPI Physical Therapist · Chattanooga, TN
NPI 1104464908 · NPPES record last updated Dec 12, 2019
Key facts
- NPI
- 1104464908
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY
- Practice address
- 2380 Lifestyle Way Ste 132
Chattanooga, TN 37421-4938 - Phone
- (423) 222-9999
- NPI assigned
- Dec 12, 2019
- Organization subpart
- No
Authorized official
- Name
- Kevin Johanneson
- Title
- VP Revenue Cycle
- Phone
- (423) 238-2313
Corporate family (same tax ID) 19
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
2380 Lifestyle Way Ste 132
Chattanooga, TN 37421-4938
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Other providers in Chattanooga, TN
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- Independent Physical Therapy
- Independent Physical Therapy
- Independent Physical Therapy
- Independent Physical Therapy LLC
- Independent Physical Therapy LLC
- Independent Physical Therapy LLC
All providers in Chattanooga, 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 Dec 12, 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.