Independent Physical Therapy
Organization Active NPI Physical Therapist · Lookout Mountain, TN
NPI 1164474342 · NPPES record last updated Sep 17, 2007
Key facts
- NPI
- 1164474342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY
- Practice address
- 820 Scenic Hwy
Suite B
Lookout Mountain, TN 37350-1471 - Phone
- (423) 825-1393
- Fax
- (423) 825-6147
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Troy Bage
- Title
- President
- Phone
- (423) 238-7217
Corporate family (same tax ID) 24
Practitioners 1
-
Troy Dale Bage, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040928000202 | TN | Part B Supplier - Clinic/Group Practice | 9335056308 |
Receives reassigned benefits from 324 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Independent Physical Therapy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
820 Scenic Hwy
Suite B
Lookout Mountain, TN 37350-1471
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other names
- BenchMark Physical Therapy
Other providers in Lookout Mountain, TN
- Laura Blackstone
- David Charles Conner
- Daymark Recovery Services Inc
- James Logan Drew
- Terri Frazier Dunn
- Leigh Carter Kuyrkendall
- Lookout Mountain Physical Therapy, LLC
- Elizabeth Moore
- Nathan H Mull IV LLC
- Amanda Jo Temple
All providers in Lookout Mountain, 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 17, 2007. 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.