Independent Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INDEPENDENT PHYSICAL THERAPY LLC

Practice address

22024 Rhea County Hwy Ste 2
Spring City, TN 37381-5243

Phone

(423) 365-0515

Fax

(423) 365-2693

NPI assigned

Aug 18, 2006

Reactivated

May 27, 2008

Last updated

Nov 1, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Troy BageNPI 1679650824

Title

President

Phone

(423) 238-7217

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• BenchMark Physical Therapy Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Troy Dale Bage, PT

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1679650824
  Authorized official Same address or phone
• Morgan Alexandra Boulware, PT, DPT

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1912316530
  NPD
• Mark C Graves, PT

  • Physical Therapist
  • Lewisburg, TN
  • NPI 1831226489
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1851405666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LANE",
            "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": "22024 RHEA COUNTY HWY STE 2",
            "city": "SPRING CITY",
            "state": "TN",
            "postal_code": "373815243",
            "telephone_number": "423-365-0515",
            "fax_number": "423-365-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-11-01",
        "deactivation_date": "2007-10-22",
        "reactivation_date": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "BAGE",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-238-7217"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3156797",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446652",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BenchMark Physical Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BenchMark Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michelle Holloway
• Homevent Care LLC
• HQM of Spring City, LLC (Spring City Care & Rehabilitation Center)
• Jimmy Hughes
• Independent Physical Therapy LLC
• K & M Private Care
• Sandra J Kuffrey, NP
• LP Spring City LLC (Spring City Care & Rehabilitation Center)
• Angel D McDougle, RBT
• Memorial Health Partners Foundation Inc (CHI Memorial Family Practice Associates - Spring City)

• Physical Therapist in Spring City, TN
• Providers in Spring City, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.