Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Independent Physical Therapy

Organization Physical Therapist · NPI 1104464908

Independent Physical Therapy is a Physical Therapist in Chattanooga, Tennessee. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3

Practice location Address checks out

2380 Lifestyle Way Ste 132
Chattanooga, TN 37421-4938
Phone: (423) 222-9999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1104464908
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-2313
NPI enumeratedDecember 12, 2019
Last updated in NPPESDecember 12, 2019
Certification dateDecember 12, 2019
Mailing address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-4915

Other providers in Chattanooga