INDEPENDENT PHYSICAL THERAPY (NPI# 1073882031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073882031 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY |
| Other Organization Name | BENCHMARK PT - COOKEVILLE |
| Practice Address |
586 S Jefferson Ave Ste I Cookeville TN 38501-4632 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 4232387217 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |
| Authorized Official Name | TROY D BAGE (PRESIDENT) |
| Authorized Official Telephone | 4232387217 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BenchMark PT - Cookeville | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464908 | Independent Physical Therapy | Occupational Therapist | 2380 Lifestyle Way Ste 132, Chattanooga, TN 37421-4938 | 2019-12-12 |
| 1982252581 | Independent Physical Therapy | Occupational Therapist | 1802 N Jackson St Ste 700, Tullahoma, TN 37388-8252 | 2019-08-28 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1275004178 | Independent Physical Therapy | Occupational Therapist | 612 Lyle St Ste 118, Johnson City, TN 37604-8001 | 2018-12-17 |
| 1952879728 | Independent Physical Therapy | Occupational Therapist | 2407 Callahan Dr, Knoxville, TN 37912-1009 | 2018-11-09 |
| 1720561418 | Independent Physical Therapy | Occupational Therapist | 7336 Nolensville Rd Ste 202, Nolensville, TN 37135-2975 | 2018-09-10 |
| 1730678152 | Independent Physical Therapy | Occupational Therapist | 14821 Dayton Pike Ste D, Sale Creek, TN 37373-5752 | 2018-05-02 |
| 1659876522 | Independent Physical Therapy | Occupational Therapist | 2325 Crestmoor Rd Ste P1, Nashville, TN 37215-2051 | 2018-03-24 |
| 1326567918 | Independent Physical Therapy | Occupational Therapist | 705b Main St, Nashville, TN 37206-3605 | 2017-09-14 |
| 1063937894 | Independent Physical Therapy | Occupational Therapist | 459 Marilyn Ln, Alcoa, TN 37701-2118 | 2017-08-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | INDEPENDENT PHYSICAL THERAPY | 1166 W 7th Ave, Eugene, OR 97402 |
| Washington State Corporations | INDEPENDENT PHYSICAL THERAPY ASSOCIATES, P.L.L.C | 12525 E Mission Ave Ste 104, Spokane Vly, WA 99216-1079 |
| Washington State Corporations | INDEPENDENT PHYSICAL THERAPY, INC. | 21 Ne Romance Hill Rd, Suite 101, Belfair, WA 98528-8315 |
| New York State Corporations | INDEPENDENT PHYSICAL THERAPY, LLC | 265 Pleasant Valley Rd, Sherburne, Ny 13460 |
| Street Address |
586 S JEFFERSON AVE STE I |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942624341 | Tennessee Therapy & Balance Center, LLC | Clinic/Center | 675c South Jefferson Avenue, Cookeville, TN 38501-0949 | 2014-02-06 |
| 1891030755 | Agilitas Usa, Inc | Clinic/Center | 317 W Spring St, Cookeville, TN 38501-7102 | 2012-12-04 |
| 1386943413 | Agilitas Usa, Inc | Clinic/Center | 851 S Willow Ave Ste 110, Cookeville, TN 38501-4223 | 2011-03-15 |
| 1831604313 | Agilitas Usa, Inc | Clinic/Center | 1120 Sams St, Cookeville, TN 38506-4006 | 2017-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717271 | Agilitas Usa, Inc | Clinic/Center | 109 Del Rio Pike Ste 105, Franklin, TN 37064-2578 | 2020-07-13 |
| 1033737689 | Therapy Plus LLC | Clinic/Center | 4108 Asheville Hwy, Knoxville, TN 37914-3505 | 2020-07-10 |
| 1235754888 | Robert Hutchens | Clinic/Center | 871 Ridgeway Loop Rd Ste 100, Memphis, TN 38120-4026 | 2020-06-09 |
| 1841815628 | Mndfl Physio LLC | Clinic/Center | 405 Midnight Sun Cir, Nashville, TN 37211-6822 | 2020-06-08 |
| 1427678069 | Pro Care Physical Therapy, LLC | Clinic/Center | 105 Center Park Dr Ste 101, Knoxville, TN 37922-3470 | 2020-04-23 |
| 1548892086 | Joshua Gibson | Clinic/Center | 1142 Cliffview Cir, Gray, TN 37615-5211 | 2020-02-11 |
| 1841822525 | Fagan Geriatric Wellness and Rehabilitation | Clinic/Center | 143 E Prince St, Gallatin, TN 37066-2880 | 2020-02-10 |
| 1255978003 | Archer Physical Therapy, LLC | Clinic/Center | 1206b N 8th St, Nashville, TN 37207-5526 | 2019-11-27 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1033750310 | Nashville Physical Therapy & Performance, Pllc | Clinic/Center | 15115 Old Hickory Blvd Ste C, Nashville, TN 37211-6585 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on INDEPENDENT PHYSICAL THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.