Independent Physical Therapy LLC
Organization Active NPI Physical Therapist · Johnson City, TN
NPI 1104574375 · NPPES record last updated Mar 16, 2022
Key facts
- NPI
- 1104574375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY LLC
- Practice address
- 5205 Bobby Hicks Hwy Ste 6
Johnson City, TN 37615-6216 - Phone
- (423) 473-0480
- Fax
- (423) 933-3908
- NPI assigned
- Mar 16, 2022
- Organization subpart
- No
Authorized official
- Name
- Bryan Barganier
- Title
- Cfo
- Phone
- (205) 536-7602
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Independent Physical Therapy LLC
Locations
5205 Bobby Hicks Hwy
Ste 6
Johnson City, TN 37615
Phone (423) 473-0480
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
5205 Bobby Hicks Hwy Ste 6
Johnson City, TN 37615-6216
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other providers in Johnson City, TN
- Imperial Healthcare Services
- Imperial Pain Specialists Inc
- Independent Living Solutions LLC
- Independent Physical Therapy
- Independent Physical Therapy
- Tyler Natee Indranoi
- Infinity Early Interventions, LLC
- Brian E. Ingalls
- Ingles Markets Inc
- Kaitlyn Ingram
All providers in Johnson City, 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 Mar 16, 2022. 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.