Independent Physical Therapy LLC
Organization Active NPI Physical Therapist · Rockwood, TN
NPI 1295086023 · NPPES record last updated Nov 30, 2021
Key facts
- NPI
- 1295086023
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY LLC
- Practice address
- 1124 N Gateway Ave
Rockwood, TN 37854-4214 - Phone
- (865) 882-9183
- Fax
- (865) 882-9548
- NPI assigned
- Sep 19, 2012
- Organization subpart
- No
Authorized official
- Name
- Bryan Barganier
- Title
- Cfo
- Phone
- (205) 536-7602
Corporate family (same tax ID) 24
Practitioners 17
-
Steven A Brooks, PT, DPT
-
Emily Ford, PT
-
Lisa Henard, DPT
-
Austin Krier, DPT
-
Troy Dale Bage, PT
-
Jonathan Elmore, PTA
-
Brittney Garrett, DPT
-
Aimee Pepple Halles, DPT
-
Erin Patterson, PT, DPT
-
Judson Dylan Scandlyn, PT, DPT
-
Nidhita Sharma, PHYSICAL THERAPIST
-
Tyler Michael Luke, PT, DPT
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
Locations
6681 Bristol Hwy
Ste 40
Piney Flats, TN 37686
Phone (423) 391-8067
1124 N Gateway Ave
Rockwood, TN 37854
Phone (865) 882-9183
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
1124 N Gateway Ave
Rockwood, TN 37854-4214
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-7217
Other providers in Rockwood, TN
- Karyn R Henderson
- Sherry G Hill
- Nancy Kirby Hinds
- HQM of Rockwood, LLC
- Stephanie Alexandra Iles
- Michael Int Veld
- Integritas of Tennessee, LLC
- Janet Eldridge Isham
- Ray Lester James Jr.
- Alma Jane Johnson
All providers in Rockwood, 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 30, 2021. 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.