INDEPENDENT PHYSICAL THERAPY (NPI# 1275933384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275933384 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PHYSICAL THERAPY |
| Other Organization Name | BENCHMARK PHYSICAL THERAPY |
| Practice Address |
2946 Winfield Dunn Pkwy Ste 106 Kodak TN 37764-4318 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 8659321088 |
| Practice Fax Number | 8659321454 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4239547399 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | LISA BENETTO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4232388923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BENCHMARK PHYSICAL THERAPY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104464908 | Independent Physical Therapy | Occupational Therapist | 2380 Lifestyle Way Ste 132, Chattanooga, TN 37421-4938 | 2019-12-12 |
| 1982252581 | Independent Physical Therapy | Occupational Therapist | 1802 N Jackson St Ste 700, Tullahoma, TN 37388-8252 | 2019-08-28 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1275004178 | Independent Physical Therapy | Occupational Therapist | 612 Lyle St Ste 118, Johnson City, TN 37604-8001 | 2018-12-17 |
| 1952879728 | Independent Physical Therapy | Occupational Therapist | 2407 Callahan Dr, Knoxville, TN 37912-1009 | 2018-11-09 |
| 1720561418 | Independent Physical Therapy | Occupational Therapist | 7336 Nolensville Rd Ste 202, Nolensville, TN 37135-2975 | 2018-09-10 |
| 1730678152 | Independent Physical Therapy | Occupational Therapist | 14821 Dayton Pike Ste D, Sale Creek, TN 37373-5752 | 2018-05-02 |
| 1659876522 | Independent Physical Therapy | Occupational Therapist | 2325 Crestmoor Rd Ste P1, Nashville, TN 37215-2051 | 2018-03-24 |
| 1326567918 | Independent Physical Therapy | Occupational Therapist | 705b Main St, Nashville, TN 37206-3605 | 2017-09-14 |
| 1063937894 | Independent Physical Therapy | Occupational Therapist | 459 Marilyn Ln, Alcoa, TN 37701-2118 | 2017-08-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | INDEPENDENT PHYSICAL THERAPY | 1166 W 7th Ave, Eugene, OR 97402 |
| Washington State Corporations | INDEPENDENT PHYSICAL THERAPY, INC. | 21 Ne Romance Hill Rd, Suite 101, Belfair, WA 98528-8315 |
| Street Address |
2946 WINFIELD DUNN PKWY STE 106 |
| City | KODAK |
| State | TN |
| Zip Code | 37764-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467790980 | Lauren A Hanson | Physical Therapist | 2946 Winfield Dunn Pkwy Ste 106, Kodak, TN 37764-4318 | 2013-01-17 |
| 1790395994 | Nathaniel Trok | Physical Therapist | 2946 Winfield Dunn Pkwy Ste 106, Kodak, TN 37764-4318 | 2020-08-03 |
| 1588223408 | Joseph Laznik | Physical Therapist | 2946 Winfield Dunn Pkwy Ste 106, Kodak, TN 37764-4318 | 2019-06-13 |
| 1861828816 | Benjamin Joseph Wittman | Physical Therapist | 2946 Winfield Dunn Pkwy Ste 106, Kodak, TN 37764 | 2013-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487081758 | Tn Premier Care LLC | Clinic/Center | 3609 Outdoor Sportsman Pl Ste 7, Kodak, TN 37764 | 2013-10-02 |
| 1326306861 | Benjamin Michael Blanton | Nurse Practitioner | 946 Winfield Dunn Parkway, Suite 107, Kodak, TN 37764 | 2012-05-02 |
| 1477677474 | Eugene Woody Stinson | Dentist | 2946 Winfield Dunn Pkwy, Ste #301, Kodak, TN 37764 | 2007-03-17 |
| 1144719808 | Tn Premier Care LLC | Durable Medical Equipment & Medical Supplies | 3609 Outdoor Sportsman Pl Ste 7, Kodak, TN 37764 | 2018-05-08 |
| 1902078587 | Roger Dale Barnes | Registered Nurse | 2946 Winfield Dunn Parkway, Suite 107, Kodak, TN 37764 | 2008-03-24 |
| 1912914219 | Tiffinie A. Allen-evans | Dentist | 9618 Gunnies Dr, Kodak, TN 37764-1107 | 2006-08-01 |
| 1922565225 | Karen Lynn Lester | Nurse Practitioner | 3651 Winfield Dunn Pkwy, Kodak, TN 37764-1471 | 2019-02-23 |
| 1194282491 | Deborah Clay Sellers-mooney | Nurse Practitioner | 3651 Winfield Dunn Pkwy, Kodak, TN 37764-1471 | 2019-02-23 |
| 1164069084 | Premier Care Medical | Clinic/Center | 3609 Outdoor Sportsman Pl Ste 7, Kodak, TN 37764-1477 | 2019-12-10 |
| 1104364918 | Ursula Treadaway | Physician Assistant | 3609 Outdoor Sportsman Pl Ste 7, Kodak, TN 37764-1477 | 2017-02-01 |
| Find all providers in zip 37764 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717271 | Agilitas Usa, Inc | Clinic/Center | 109 Del Rio Pike Ste 105, Franklin, TN 37064-2578 | 2020-07-13 |
| 1033737689 | Therapy Plus LLC | Clinic/Center | 4108 Asheville Hwy, Knoxville, TN 37914-3505 | 2020-07-10 |
| 1235754888 | Robert Hutchens | Clinic/Center | 871 Ridgeway Loop Rd Ste 100, Memphis, TN 38120-4026 | 2020-06-09 |
| 1841815628 | Mndfl Physio LLC | Clinic/Center | 405 Midnight Sun Cir, Nashville, TN 37211-6822 | 2020-06-08 |
| 1427678069 | Pro Care Physical Therapy, LLC | Clinic/Center | 105 Center Park Dr Ste 101, Knoxville, TN 37922-3470 | 2020-04-23 |
| 1548892086 | Joshua Gibson | Clinic/Center | 1142 Cliffview Cir, Gray, TN 37615-5211 | 2020-02-11 |
| 1841822525 | Fagan Geriatric Wellness and Rehabilitation | Clinic/Center | 143 E Prince St, Gallatin, TN 37066-2880 | 2020-02-10 |
| 1255978003 | Archer Physical Therapy, LLC | Clinic/Center | 1206b N 8th St, Nashville, TN 37207-5526 | 2019-11-27 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1033750310 | Nashville Physical Therapy & Performance, Pllc | Clinic/Center | 15115 Old Hickory Blvd Ste C, Nashville, TN 37211-6585 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.