Independent Physical Therapy, LLC
NPI 1205204500 · Physical Therapist · Maryville, TN
Independent Physical Therapy, LLC is a Physical Therapist organization in Maryville, TN (NPI 1205204500).
Provider details
- NPI number
- 1205204500
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Kevin Johanneson, Vp Revenue Cycle(423) 238-8923
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Benchmark PT
Registry dates
- Enumerated
- 2015-09-03
- Last updated
- 2015-09-03
Frequently asked questions
- What is Independent Physical Therapy, LLC's NPI number?
- Independent Physical Therapy, LLC's National Provider Identifier (NPI) is 1205204500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Independent Physical Therapy, LLC?
- Independent Physical Therapy, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Independent Physical Therapy, LLC located?
- Independent Physical Therapy, LLC's practice location on file with NPPES is 1904 W Broadway Ave, Maryville, TN 37801-5402.
- What is Independent Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Independent Physical Therapy, LLC is (865) 983-8129.
- Who is the authorized official for Independent Physical Therapy, LLC?
- The authorized official listed on Independent Physical Therapy, LLC's NPPES record is Kevin Johanneson, Vp Revenue Cycle. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Independent Physical Therapy, LLC's NPI active?
- Yes — Independent Physical Therapy, LLC's NPI (1205204500) is active in the NPPES registry as of the last update on 2015-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.