INDEPENDENT PHYSICAL THERAPY, LLC (NPI# 1245661800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245661800 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY, LLC |
| Practice Address |
4635 Greenway Dr Unit B Knoxville TN 37918-2118 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-4915 |
| Practice Telephone | 8655460801 |
| Practice Fax Number | 8655460086 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2019-02-05 |
| 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 | 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866611 | Independent Physical Therapy, LLC | Occupational Therapist | 920 S Hartmann Dr Ste 330, Lebanon, TN 37090-4136 | 2020-09-22 |
| 1255946463 | Independent Physical Therapy, LLC | Occupational Therapist | 1011 Winn Way Ste 110, Clarksville, TN 37043-0614 | 2020-09-14 |
| 1417595364 | Independent Physical Therapy, LLC | Occupational Therapist | 2812 Old Fort Pkwy Ste D, Murfreesboro, TN 37128-4265 | 2019-12-11 |
| 1871144733 | Independent Physical Therapy, LLC | Occupational Therapist | 201 S Mccrary St, Woodbury, TN 37190-1439 | 2019-09-23 |
| 1467925651 | Independent Physical Therapy, LLC | Occupational Therapist | 4654 Nashville Hwy, Chapel Hill, TN 37034-2126 | 2019-01-10 |
| 1154891638 | Independent Physical Therapy, LLC | Occupational Therapist | 189 Monroe Pl Ste 110, Ashland City, TN 37015-4939 | 2018-11-28 |
| 1609359421 | Independent Physical Therapy, LLC | Occupational Therapist | 226 Village Square Dr, Loudon, TN 37774-2807 | 2018-09-07 |
| 1114413325 | Independent Physical Therapy, LLC | Occupational Therapist | 500 Wilson Pike Cir Ste 200, Brentwood, TN 37027-3225 | 2018-07-11 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | INDEPENDENT PHYSICAL THERAPY, LLC | 265 Pleasant Valley Rd, Sherburne, Ny 13460 |
| Street Address |
4635 GREENWAY DR UNIT B |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37918-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300786 | Mariah Klingeisen | Physical Therapist | 4635 Greenway Dr Unit B, Knoxville, TN 37918-2118 | 2020-09-09 |
| 1295348399 | Nathan Stokes | Physical Therapist | 4635 Greenway Dr Unit B, Knoxville, TN 37918-2118 | 2020-08-28 |
| 1659917268 | Kaitlyn Lawrence | Physical Therapist | 4635 Greenway Dr Unit B, Knoxville, TN 37918-2118 | 2019-11-19 |
| 1366092181 | Scott Picton | Specialist/Technologist | 4635 Greenway Dr Unit B, Knoxville, TN 37918-2118 | 2019-09-13 |
| 1003477738 | Caleb Satterfield | Physical Therapist | 4635 Greenway Dr Unit B, Knoxville, TN 37918-2118 | 2019-06-24 |
| 1740671288 | Brandon Christopher Acuff | Physical Therapy Assistant | 4635 Greenway Dr Unit B, Knoxville, TN 37918-2118 | 2015-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636145 | Samantha Fuhrmann | Physical Therapy Assistant | Beverly Park Place Health and Rehab, 5321 Beverly Park Circle, Knoxville, TN 37918 | 2019-02-21 |
| 1043701741 | Lauren Lea Wilson | Student in an Organized Health Care Education/Training Program | 4230 Homewood Rd, Knoxville, TN 37918 | 2018-05-29 |
| 1164790317 | Jennifer Young Brooks | Pharmacist | 5006 North Broadway, Knoxville, TN 37918 | 2011-12-02 |
| 1215213194 | Lu Miller | Pharmacist | 5006 N Broadway, Knoxville, TN 37918 | 2011-10-24 |
| 1326353475 | Lauren Joy Stone | Optometrist | 4829 N Broadway St Ste 103, Knoxville, TN 37918 | 2010-08-13 |
| 1699004531 | Larry Kyle Sowder | Dentist | 2944 Tazewell Pk, Ste #2, Knoxville, TN 37918 | 2009-12-23 |
| 1922233881 | Andrea' Lamar Farrior | Dentist | 2937 Essary Rd., Dr. Michael Edenfield, Knoxville, TN 37918 | 2009-05-21 |
| 1053558510 | Love-hope Academy | Counselor | 3826 Tiberius Rd Ste 315, Knoxville, TN 37918 | 2009-01-20 |
| 1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
| 1740498088 | Kathleen M Riley | Pharmacist | K-mart Pharmacy #7460, 6906 Manardville Pike Ne, Knoxville, TN 37918 | 2007-05-18 |
| Find all providers in zip 37918 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737689 | Therapy Plus LLC | Clinic/Center | 4108 Asheville Hwy, Knoxville, TN 37914-3505 | 2020-07-10 |
| 1427678069 | Pro Care Physical Therapy, LLC | Clinic/Center | 105 Center Park Dr Ste 101, Knoxville, TN 37922-3470 | 2020-04-23 |
| 1639681877 | Max Kids Physical Therapy, LLC | Clinic/Center | 980 E Emory Rd, Knoxville, TN 37938-4617 | 2017-10-27 |
| 1497274997 | Five Star Rehabilitation and Wellness Services, LLC | Clinic/Center | 10914 Kingston Pike, Knoxville, TN 37934-2944 | 2017-09-15 |
| 1114229226 | Forward Physical Therapy,llc | Clinic/Center | 9215 Middlebrook Pike, Suite 400, Knoxville, TN 37931-4737 | 2010-11-22 |
| 1528382868 | Agilitas Usa, Inc | Clinic/Center | 1128 E Weisgarber Rd Ste 220, Knoxville, TN 37909-2676 | 2010-03-16 |
| 1659593119 | Agilitas Usa, Inc | Clinic/Center | 11130 Kingston Pike Ste 3, Knoxville, TN 37934-2800 | 2007-05-03 |
| 1760510739 | Physiotherapy Associates Inc | Clinic/Center | 8458 Gleason Dr Apt 335, Knoxville, TN 37919-5491 | 2007-03-01 |
| 1689605610 | Brenda Rasch, Pt, PC | Clinic/Center | 9025 Strawflower Dr., Knoxville, TN 37922-1460 | 2006-07-06 |
| 1437197829 | Physiotherapy Associates Inc | Clinic/Center | 970 E Emory Rd, Knoxville, TN 37938-4617 | 2006-06-04 |
| Find all providers in KNOXVILLE | ||||
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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.