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 1275004178

Independent Physical Therapy is a Physical Therapist in Johnson City, Tennessee. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3

Practice location Address checks out

612 Lyle St Ste 118
Johnson City, TN 37604-8001
Phone: (423) 328-3156
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 number1275004178
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-2313
NPI enumeratedDecember 17, 2018
Last updated in NPPESDecember 17, 2018
Mailing address6397 Lee Hwy Ste 300, Chattanoooga, TN 37421-2564

Other providers in Johnson City