NPIMap

Independent Physical Therapy LLC

Organization Active NPI Physical Therapist · Chattanooga, TN

NPI 1902120249 · NPPES record last updated Nov 14, 2019

Key facts

NPI
1902120249
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
INDEPENDENT PHYSICAL THERAPY LLC
Practice address
2707 Citico Ave Ste B
Chattanooga, TN 37406-3402
Phone
(423) 698-0853
Fax
(423) 698-0778
NPI assigned
Mar 16, 2010
Organization subpart
No

Authorized official

Name
Kevin Johanneson
Title
VP Revenue Cycle
Phone
(423) 238-7217

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Independent Physical Therapy LLC (98 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X Yes
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP		 235Z00000X

Addresses

Primary practice location

2707 Citico Ave Ste B
Chattanooga, TN 37406-3402

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-7217

Other names

  • BenchMark Physical Therapy Doing business as

Other providers in Chattanooga, TN

All providers in Chattanooga, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.