Independent Physical Therapy
Organization Active NPI Physical Therapist · Kingsport, TN
NPI 1831743392 · NPPES record last updated Aug 1, 2019
Key facts
- NPI
- 1831743392
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY
- Practice address
- 1704 E. Stone Dr. Ste 120
Kingsport, TN 37660 - Phone
- (423) 765-0985
- NPI assigned
- Aug 1, 2019
- 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
1704 E. Stone Dr. Ste 120
Kingsport, TN 37660
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421
Other providers in Kingsport, TN
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- Kurt A Ick
- Id Micro PLLC
- Lilian Imhaze Ikele
- Illuminate Ketamine Center PLLC
- Independent Physical Therapy
- Jean Scott Inderfurth
- Laken N Ingle
- Ingles Markets Inc
- Amanda Davis Ingram
All providers in Kingsport, 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 Aug 1, 2019. 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.