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

Independent Physical Therapy LLC

Organization Physical Therapist · NPI 1104574375

Independent Physical Therapy LLC is a Physical Therapist in Johnson City, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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

5205 Bobby Hicks Hwy Ste 6
Johnson City, TN 37615-6216
Phone: (423) 473-0480
Fax: (423) 933-3908
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

Record details

NPI number1104574375
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Barganier — Cfo · (205) 536-7602
NPI enumeratedMarch 16, 2022
Last updated in NPPESMarch 16, 2022
Certification dateMarch 2, 2022
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

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