MEDICARE: INDEPENDENT PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1902120249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INDEPENDENT PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	6397 LEE HWY STE 300
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-4915
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:	423-238-3473

Provider Business Practice Location Address
First Line	:	2707 CITICO AVE STE B
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37406-3402
Country	:	US
Telephone Number	:	423-698-0853
Fax Number	:	423-698-0778

Authorized Official
Title or Position	:	VP REVENUE CYCLE
Name	:	KEVIN JOHANNESON
Credential	:
Telephone Number	:	423-238-7217

Provider Enumeration Date	:	03/16/2010
Last Update Date	:	11/14/2019

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Directions to “INDEPENDENT PHYSICAL THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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