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 1114305547

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

In the registry since
2015
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

1430 Volunteer Pkwy Ste 6
Bristol, TN 37620-6062
Phone: (423) 652-0265
Fax: (423) 652-0574
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 number1114305547
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-8923
Other names Benchmark Physical Therapy
NPI enumeratedMay 18, 2015
Last updated in NPPESMay 18, 2015
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

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