Independent Physical Therapy, LLC
Organization Active NPI Physical Therapist · Ashland City, TN
NPI 1154891638 · NPPES record last updated Nov 28, 2018
Key facts
- NPI
- 1154891638
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY, LLC
- Practice address
- 189 Monroe PL Ste 110
Ashland City, TN 37015-4939 - Phone
- (833) 235-1021
- NPI assigned
- Nov 28, 2018
- Organization subpart
- No
Authorized official
- Name
- Kevin Johanneson
- Title
- VP Revenue Cycle
- Phone
- (423) 238-2313
Corporate family (same tax ID) 24
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
189 Monroe PL Ste 110
Ashland City, TN 37015-4939
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Other providers in Ashland City, TN
- Hospital Based Medical Services of Tennessee-I PC
- Melissa Howard
- Randi Danielle Hull
- Chase Thomas Hunnell
- Hustle Recovery, Inc
- Bailie Paige Isaac
- Maaziah Israel
- Anna Jackson
- James Edward Jacobs
- Kylin Johnson
All providers in Ashland 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 Nov 28, 2018. 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.