Independent Physical Therapy
NPI 1952848434ActiveOrganization· Physical Therapist· Hermitage, TN
Physical Therapist in Hermitage, Tennessee, registered in NPPES in January 2017. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle.
Overview
| NPI | 1952848434 |
|---|---|
| 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 · 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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