Independent Physical Therapy LLC
NPI 1174790125ActiveOrganization· Physical Therapist· Ooltewah, TN
Physical Therapist in Ooltewah, Tennessee, registered in NPPES in May 2008. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1174790125 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2008 |
| Last updated in NPPES | Nov 14, 2019 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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