Independent Physical Therapy, LLC
NPI 1417595364ActiveOrganization· Physical Therapist· Murfreesboro, TN
Physical Therapist in Murfreesboro, Tennessee, registered in NPPES in December 2019. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1417595364 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 11, 2019 |
| Last updated in NPPES | Dec 11, 2019 |
| Certified by provider | Dec 11, 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 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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