INDEPENDENT PHYSICAL THERAPY (NPI# 1124295886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124295886 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY |
| Other Organization Name | BENCHMARK PHYSICAL THERAPY |
| Practice Address |
1202 N Charles G Seivers Blvd Ste A Clinton TN 37716-3936 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 8654570192 |
| Practice Fax Number | 8654572284 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2010-06-24 |
| Authorized Official Name | TROY 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBST GROUP # | 3156797 | 01 |
| TN | 03650060 | 05 |
| Other Name | Type Code |
|---|---|
| BenchMark Physical Therapy | 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 |
1202 N CHARLES G SEIVERS BLVD STE A |
| City | CLINTON |
| State | TN |
| Zip Code | 37716-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467060418 | Colton Bradfield | Physical Therapist | 1202 N Charles G Seivers Blvd Ste A, Clinton, TN 37716-3936 | 2020-07-15 |
| 1295259398 | Charles Matthew Rutledge | Physical Therapist | 1202 N Charles G Seivers Blvd Ste A, Clinton, TN 37716-3936 | 2017-07-31 |
| 1619499506 | Matthew Todd Smith | Physical Therapist | 1202 N Charles G Seivers Blvd Ste A, Clinton, TN 37716-3936 | 2017-07-12 |
| 1720380413 | Christina Marie Portwood | Physical Therapy Assistant | 1202 N Charles G Seivers Blvd Ste A, Clinton, TN 37716-3936 | 2010-12-01 |
| 1679888382 | Benchmark Healthcare Services LLC | Clinic/Center | 1202 N Charles G Seivers Blvd Ste A, Clinton, TN 37716-3936 | 2010-08-18 |
| 1780903385 | Nicka S. Wheat | Occupational Therapy Assistant | 1202 N Charles G Seivers Blvd Ste A, Clinton, TN 37716-3936 | 2010-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| Find all providers in zip 37716 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603881 | Dynamic Chiropractic and Physical Therapy Pllc | Clinic/Center | 7883 Seneca Turnpike, Clinton, Clinton, NY 13323 | 2020-03-09 |
| 1467819235 | Megamotion,llc | Clinic/Center | 3514 Craig Rd, Clinton, NY 13323-3912 | 2016-01-25 |
| 1598177214 | Advanced Physical Therapy of Clinton LLC | Clinic/Center | 317 North Blvd, Clinton, NC 28328-1911 | 2014-05-29 |
| 1558531061 | Matthews Physical Therapy | Clinic/Center | 119 Ingram St, Suite B, Clinton, AR 72031-6889 | 2008-03-11 |
| 1396803235 | Horizon Physical Therapy, Pllc | Clinic/Center | 20331 East Mullan, Clinton, MT 59825 | 2006-12-04 |
| 1932101946 | Firstcare Rehabilitation, Inc. | Clinic/Center | 1725 S Highway 183, Suite 100, Clinton, OK 73601-9533 | 2005-08-10 |
| 1700417201 | Cornwell Ave Physical Therapy PC | Clinic/Center | 7883 Seneca Turnpike, Clinton, NY 13323 | 2020-02-03 |
| 1134676893 | Megamotion Physical Therapy | Clinic/Center | 3514 Craig Rd, Clinton, NY 13323-3912 | 2016-09-09 |
| 1306246541 | United Rehab Associates of Clinton, LLC | Clinic/Center | 590 Springridge Rd, Suite B, Clinton, MS 39056-5641 | 2014-08-25 |
| 1255773362 | Salish Sea Physical Therapy LLC | Clinic/Center | 6441 Harding Ave, Clinton, WA 98236-9600 | 2013-07-18 |
| Find all providers in CLINTON | ||||
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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.