Benchmark Physical Therapy of Wa
NPI 1558895466ActiveOrganization· Physical Therapist· Ooltewah, TN
Physical Therapist in Ooltewah, Tennessee, registered in NPPES in April 2017. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1558895466 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2017 |
| Last updated in NPPES | Apr 18, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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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