Independent Physical Therapy
NPI 1275004178ActiveOrganization· Physical Therapist· Johnson City, TN
Physical Therapist in Johnson City, Tennessee, registered in NPPES in December 2018. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1275004178 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2018 |
| Last updated in NPPES | Dec 17, 2018 |
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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 Therapist providers in Johnson City
- 1891607560
- 1972231884
- 1891540613
- 1619675733
- 1174174759
- 1366984668
- 1104574375
- 1548531890
- 1548998156
- 1437386604
- 1962956367
- 1407275910