Independent Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INDEPENDENT PHYSICAL THERAPY LLC

Practice address

317 Ault Rd Ste 100
Signal Mountain, TN 37377-3154

Phone

(423) 886-9294

Fax

(423) 886-9928

NPI assigned

Oct 4, 2010

Organization subpart

No

Name

Kevin Johanneson

Title

VP Revenue Cycle

Phone

(423) 238-7217

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

• Amanda Cawley, PT

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1295229284
  NPD (past)
• James Logan Drew, PT, DPT, MBA, TPI

  • Physical Therapist
  • Lookout Mountain, TN
  • NPI 1346779519
  NPD (past)
• Elizabeth Thrasher Hullander, PT

  • Physical Therapist
  • Signal Mountain, TN
  • NPI 1205219565
  NPD (past)
• Chrissy Elaine Knowles, PTA

  • Physical Therapy Assistant
  • Signal Mountain, TN
  • NPI 1639416159
  NPD (past)

Locations

• BenchMark PT Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2019.

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1962711267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "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": "317 AULT RD STE 100",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "373773154",
            "telephone_number": "423-886-9294",
            "fax_number": "423-886-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "JOHANNESON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "423-238-7217"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BenchMark PT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BenchMark PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elaine W Hatch, MD
• Tricia Henderson, LPC-MHSP
• Terry F Holmes, MD
• Jonathan Ryan Hudson
• Elizabeth Thrasher Hullander, PT
• Jennifer Lynn Ingram, NURSE PRACTITIONER
• John D Cranwell MD PLLC
• Karen Jonakin
• Brian Kyle Jones, RDN
• Jane O Jones, MD

• All providers in Signal Mountain, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.