Benchmark Physical Therapy of VA, LLC
NPI 1073981114ActiveOrganization· Physical Therapist· Ooltewah, TN
Physical Therapist in Ooltewah, Tennessee, registered in NPPES in September 2015. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073981114 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 7, 2015 |
| Last updated in NPPES | Sep 7, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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