Active NPI
Independent Physical Therapy
- Physical Therapy Clinic/Center
- Newport, TN
National Provider Identifier
1770910499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- INDEPENDENT PHYSICAL THERAPY
- Practice address
- 112 Newport Towne Ctr
Newport, TN 37821-7360 - Phone
- (423) 623-2890
- Fax
- (423) 623-2924
- NPI assigned
- Sep 27, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kiley Russell
- Title
- Manager
- Phone
- (423) 238-7217
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
112 Newport Towne Ctr
Newport, TN 37821-7360
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other names 1
- BenchMark PT
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380240000000",
"number": "1770910499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 NEWPORT TOWNE CTR",
"city": "NEWPORT",
"state": "TN",
"postal_code": "378217360",
"telephone_number": "423-623-2890",
"fax_number": "423-623-2924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-27",
"last_updated": "2013-09-27",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "KILEY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "423-238-7217"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BenchMark PT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.