Independent Physical Therapy
NPI 1770020240ActiveOrganization· Physical Therapist· Mount Juliet, TN
Physical Therapist in Mount Juliet, Tennessee, registered in NPPES in January 2017. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1770020240 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2017 |
| Last updated in NPPES | Jan 23, 2017 |
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 · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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All 37 physical therapists in Mount Juliet · All physical therapists in Tennessee