INDEPENDENT PHYSICAL THERAPY (NPI# 1104464908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104464908 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY |
| Practice Address |
2380 Lifestyle Way Ste 132 Chattanooga TN 37421-4938 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-4915 |
| Practice Telephone | 4232229999 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | KEVIN JOHANNESON (VP REVENUE CYCLE) |
| Authorized Official Telephone | 4232382313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1316461825 | Independent Physical Therapy | Occupational Therapist | 2556 Dalton Pike Se, Cleveland, TN 37323-7157 | 2017-07-27 |
| 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, INC. | 21 Ne Romance Hill Rd, Suite 101, Belfair, WA 98528-8315 |
| Street Address |
2380 LIFESTYLE WAY STE 132 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-4938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538319 | The Pelvic Method Pllc | Physical Therapist | 852 Mccallie Ave, Chattanooga, TN 37403-2600 | 2020-11-04 |
| 1437762358 | Denice Marie Eckler | Physical Therapist | 136 Amhurst Ave, Chattanooga, TN 37411-5205 | 2020-08-29 |
| 1780229468 | David R Barron | Physical Therapist | 1125 Dartmouth St, Chattanooga, TN 37405-3009 | 2019-11-17 |
| 1346809696 | Jacob Honea | Physical Therapist | 313 Manufacturers Rd # C215, Chattanooga, TN 37405-3274 | 2019-06-11 |
| 1760940472 | Christina Goosey | Physical Therapist | 2158 Northgate Park, #200, Chattanooga, TN 37415 | 2019-03-12 |
| 1700383841 | Keith B Collins | Physical Therapist | 9829 Windrose Cir, Chattanooga, TN 37421-4810 | 2018-04-06 |
| 1891217444 | Allyson Tyler Ramos | Physical Therapist | 7480 Ziegler Rd Ste 101, Chattanooga, TN 37421-3156 | 2017-07-14 |
| 1558883678 | Bryce A Martin | Physical Therapist | 1809 Gunbarrel Rd Ste 101, Chattanooga, TN 37421-7185 | 2017-07-11 |
| 1528580750 | Klifford Hawkins | Physical Therapist | 1100 E 3rd St Ste G103, Chattanooga, TN 37403 | 2017-07-10 |
| 1811427032 | Chattanooga Orthopaedic Group, PC | Physical Therapist | 6401 Lee Hwy Ste 109, Chattanooga, TN 37421-2406 | 2017-06-20 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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| 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.