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

Independent Physical Therapy, LLC

Organization Physical Therapist · NPI 1073999207

Independent Physical Therapy, LLC is a Physical Therapist in Pulaski, Tennessee. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

203 Village Sq
Pulaski, TN 38478-2929
Phone: (931) 424-5588
Fax: (931) 424-5590
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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 number1073999207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycel · (423) 238-8923
Other names Benchmark
NPI enumeratedAugust 11, 2015
Last updated in NPPESAugust 11, 2015
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

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