Independent Physical Therapy
NPI 1366984668ActiveOrganization· Physical Therapist· Johnson City, TN
Physical Therapist in Johnson City, Tennessee, registered in NPPES in November 2016. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1366984668 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2016 |
| Last updated in NPPES | Nov 17, 2016 |
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 |
|---|
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