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

Independent Physical Therapy

Organization Multi-Specialty Clinic/Center · NPI 1215288246

Independent Physical Therapy is a Multi-Specialty Clinic/Center in Knoxville, Tennessee. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
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Practice location Address checks out

104 Jack Dance St
Knoxville, TN 37919-5576
Phone: (865) 691-8381
Fax: (865) 691-8574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X
Occupational Medicine Clinic/Center Taxonomy 261QX0100X

Record details

NPI number1215288246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvette Wallace — Director Of Contract Management · (423) 238-7217
NPI enumeratedOctober 1, 2012
Last updated in NPPESOctober 1, 2012
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

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