NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Independent Physical Therapy

Physical Therapist in Johnson City, TN · enumerated 2018 · authorized official Kevin Johanneson, Vp Revenue Cycle.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275004178

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Independent Physical Therapy
Practice address 612 Lyle St Ste 118, Johnson City, TN, 37604
Phone (423) 328-3156
Enumeration date Dec 17, 2018
Last updated in NPPES Dec 17, 2018

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Kevin Johanneson
Title Vp Revenue Cycle
Phone (423) 238-2313

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Independent Physical Therapy?
Independent Physical Therapy is registered in NPPES as a Physical Therapist (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-17.