INDEPENDENT PHYSICAL THERAPY (NPI# 1467800409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467800409 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY |
| Other Organization Name | BENCHMARK PT - FAYETTEVILLE |
| Practice Address |
1412 Huntsville Hwy Fayetteville TN 37334-3606 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 9314386335 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | KEVIN JOHANNESON (VP REVENUE CYCLE) |
| Authorized Official Telephone | 4232387217 |
| 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 |
| Other Name | Type Code |
|---|---|
| BenchMark PT - Fayetteville | Doing Business As Name - 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, INC. | 21 Ne Romance Hill Rd, Suite 101, Belfair, WA 98528-8315 |
| Street Address |
1412 HUNTSVILLE HWY |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1740834159 | Skylar Mefford | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334-3606 | 2019-07-25 |
| 1033648845 | Amber Michele Hardy | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334-3606 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| 1578885620 | Lincoln Medical Group | Specialist | 108 Medical Center Blvd, Suite 150, Fayetteville, TN 37334 | 2010-02-17 |
| Find all providers in zip 37334 | ||||
| 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 |
|---|---|---|---|---|
| 1821602178 | Ryan Matthew Derby | Physical Therapist | 1191 Fordham Drive, Suite 102, Fayetteville, NC 28304-3774 | 2020-09-03 |
| 1649882705 | P4 Physical Therapy - Fayetteville, LLC | Physical Therapist | 1229 Huntsville Hwy Ste B, Fayetteville, TN 37334-3685 | 2020-08-20 |
| 1295352136 | Jessica Czarnecki | Physical Therapist | 2668 E Citizens Dr Ste 4, Fayetteville, AR 72703-4796 | 2020-06-26 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1245870187 | Patricia Jean Boehlert | Physical Therapist | 4401 Medical Center Dr Ste 401, Fayetteville, NY 13066-6603 | 2020-01-08 |
| 1427691617 | Brandon Merrick | Physical Therapist | 13917 Hickory Trce, Fayetteville, AR 72704-8417 | 2019-10-21 |
| 1841847936 | Abigail Weiskopf | Physical Therapist | 2350 Bentridge Ln Suite 102, Fayetteville, NC 28304-0591 | 2019-08-22 |
| 1932755766 | Jonathan Cole Vaughn | Physical Therapist | 2793 E Millennium Pl Ste 2, Fayetteville, AR 72703-6522 | 2019-08-16 |
| 1205395944 | Sharon Branch | Physical Therapist | 125 Franklin Farms Cir, Fayetteville, GA 30214-3361 | 2019-03-12 |
| 1043796881 | Travis Alexander | Physical Therapist | 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 | 2018-07-16 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
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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.