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Independent Physical Therapy, LLC

NPI 1104878354ActiveOrganization· Physical Therapist· Chattanooga, TN

Physical Therapist in Chattanooga, Tennessee, registered in NPPES in May 2006. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1104878354
StatusActive
Entity typeOrganization
NPI issuedMay 16, 2006
Last updated in NPPESMay 3, 2019

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TN)

Medicare sources and data years

Other physical therapists in Chattanooga

All 316 physical therapists in Chattanooga · All physical therapists in Tennessee