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Independent Physical Therapy LLC

NPI 1366048993ActiveOrganization· Physical Therapist· Jackson, TN

Physical Therapist in Jackson, Tennessee, registered in NPPES in December 2020. The authorized official on file is Bryan Barganier, Cfo.

Overview

NPI1366048993
StatusActive
Entity typeOrganization
NPI issuedDec 9, 2020
Last updated in NPPESDec 9, 2020
Certified by providerDec 9, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——
Occupational Therapist225X00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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