Independent Physical Therapy
Organization Active NPI Physical Therapy Clinic/Center · Dunlap, TN
NPI 1679740328 · NPPES record last updated Jun 3, 2010
Key facts
- NPI
- 1679740328
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY
- Practice address
- 15653 Rankin Ave Ste a
Dunlap, TN 37327-7018 - Phone
- (423) 949-2793
- Fax
- (423) 949-3729
- NPI assigned
- May 13, 2008
- Organization subpart
- No
Authorized official
- Name
- Troy Bage
- Title
- President
- Phone
- (423) 238-7217
Corporate family (same tax ID) 24
Practitioners 3
-
Troy Dale Bage, PT
-
Kori N Eytcheson, MPT
National Provider Directory
- Tax ID family
- Independent Physical Therapy LLC
Locations
15653 Rankin Ave
Ste A
Dunlap, TN 37327
Phone (423) 949-2793
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Yes | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
15653 Rankin Ave Ste a
Dunlap, TN 37327-7018
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446652 | Medicaid | TN | |
| 3156797 | Other | TN | BCBST GROUP # |
Other names
- BenchMark Physical Therapy
Other providers in Dunlap, TN
- Janice Carolyn Henson
- Mary Henson
- Leann Michelle Holland
- Home Health Senior Service
- Sara Shrum Hoover
- Independent Physical Therapy LLC
- Aundrea Johnson
- Charlotte Boston Johnson
- Kasha Jones
- Destiny Kassner
All providers in Dunlap, TN · Physical Therapy Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2010. 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.