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

Organization Physical Therapist · NPI 1114413325

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

In the registry since
2018
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

500 Wilson Pike Cir Ste 200
Brentwood, TN 37027-3225
Phone: (629) 888-4981
Fax: (629) 888-4982
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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 number1114413325
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-2313
NPI enumeratedJuly 11, 2018
Last updated in NPPESJuly 11, 2018
Mailing address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564

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