Independent Physical Therapy, LLC
NPI 1114305547ActiveOrganization· Physical Therapist· Bristol, TN
Physical Therapist in Bristol, Tennessee, registered in NPPES in May 2015. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1114305547 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2015 |
| Last updated in NPPES | May 18, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other physical therapists in Bristol
- 1497413181
- 1497519672
- 1598366221
- 1699037788
- 1700295565
- 1730861931
- 1871060319
- 1871201046
- 1932698297
- 1023717816
- 1063659464
- 1154838472
All 47 physical therapists in Bristol · All physical therapists in Tennessee