Independant Physical Therapy
NPI 1851874846ActiveOrganization· Physical Therapist· Jefferson City, TN
Physical Therapist in Jefferson City, Tennessee, registered in NPPES in September 2018. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1851874846 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2018 |
| Last updated in NPPES | Sep 14, 2018 |
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 17 physical therapists in Jefferson City · All physical therapists in Tennessee