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

Independent Physical Therpay, LLC

Organization Physical Therapist · NPI 1508249574

Independent Physical Therpay, LLC is a Physical Therapist in White House, 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 →

Practice location Address checks out

642 Highway 76
White House, TN 37188-9205
Phone: (615) 672-4966
Fax: (615) 672-4968
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
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1508249574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle · (423) 238-8923
NPI enumeratedJuly 8, 2015
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

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