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 1205204500

Independent Physical Therapy, LLC is a Physical Therapist in Maryville, 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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1904 W Broadway Ave
Maryville, TN 37801-5402
Phone: (865) 983-8129
Fax: (865) 983-8293
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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 number1205204500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-8923
Other names Benchmark Pt
NPI enumeratedSeptember 3, 2015
Last updated in NPPESSeptember 3, 2015
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

Other providers in Maryville