Independent Physical Therapy
Organization Active NPI Physical Therapy Clinic/Center · Norris, TN
NPI 1972806958 · NPPES record last updated Dec 13, 2010
Key facts
- NPI
- 1972806958
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- INDEPENDENT PHYSICAL THERAPY
- Practice address
- 8 W. Norris Road Ste B
Norris, TN 37828-1254 - Phone
- (865) 494-6868
- Fax
- (865) 494-6867
- NPI assigned
- Dec 13, 2010
- Organization subpart
- No
Authorized official
- Name
- Troy D Bage
- Title
- President
- Phone
- (423) 238-7217
Corporate family (same tax ID) 18
Practitioners 5
-
Amber Gilstrap, PT, DPT
-
Troy Dale Bage, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040928000202 | TN | Part B Supplier - Clinic/Group Practice | 9335056308 |
Receives reassigned benefits from 324 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Tax ID family
- Independent Physical Therapy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Yes | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
8 W. Norris Road Ste B
Norris, TN 37828-1254
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other names
- BenchMark PT
Other providers in Norris, TN
- Jamie Gossett
- Adam Guinn
- Jeanne Ann Hartsell
- Catherine Haviland
- Heart Pine Counseling Center LLC
- Anita Sue Jordan
- Deborah Langheld
- Charles Branton Mitchell
- Norris Speech Therapy, LLC
- Steven Tyler Oberheim
All providers in Norris, TN · Physical Therapy Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.