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 1265857908

Independent Physical Therapy, LLC is a Physical Therapist in Jonesborough, Tennessee. Registered with an NPI since 2014.

In the registry since
2014
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

900 E Jackson Blvd Ste 4
Jonesborough, TN 37659-1505
Phone: (423) 218-1751
Fax: (423) 218-1752
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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 number1265857908
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Benetto — Manager Payer & Provider Enrollment · (423) 238-8923
NPI enumeratedMarch 4, 2014
Last updated in NPPESDecember 29, 2019
Certification dateDecember 29, 2019
Mailing address1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424

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