Look up the most recent NPI and PECOS records

Independent Physical Therapy

(<Unavail>)

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

208 Railroad St, Sweetwater, TN 37874-3013

PECOS Enrollment

Based on the most recent information from CMS, provider Independent Physical Therapy does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1700169315
Provider Type
Organization
Full Name
Independent Physical Therapy
Other Name
<Unavail>

Subpart
No
Enumeration Date
9/21/2011
Last Updated
11/17/2021

Contact Information

Practice Location

208 Railroad St, Sweetwater, TN 37874-3013

(423) 337-7897

(423) 337-7943

Mailing Location

1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

(423) 238-8923

(423) 238-3473

Authorized Official

Barganier, Thomas Bryan (Cfo)

(423) 238-7217

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer
Code 225X00000X	Description Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer
Code 261QM1300X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QP2000X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer
Code 261QR0400X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer

Independent Physical Therapy

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Riddle, Steven

Hurt, Kristin L.

Hermes, Gabrielle Elizabeth

Allen, Blake Wesley

Timko, Jonathan

Gerber, Jenna Kate Marie

Hopkins, Carole Lynne

Kothe, Cheryl Ann

Fox, Jacquelyn Mitchell

Drayer Physical Therapy Institute Of Ky, Pllc