Meredith Johnson, | |
55 Augusta Dr, Medford, NY 11763-2406 | |
(631) 875-2222 | |
Not Available |
Full Name | Meredith Johnson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 10 Years |
Location | 55 Augusta Dr, Medford, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083001705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 038099 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Occupational And Physical Therapy Pllc | 3779873401 | 442 |
Provider Name | Professional Orthopedic And Sports Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356453633 PECOS PAC ID: 7911989827 Enrollment ID: O20040922000120 |
Provider Name | Professional Occupational & Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205296902 PECOS PAC ID: 3779873401 Enrollment ID: O20160608000715 |
Mailing Address | Practice Location Address |
---|---|
Meredith Johnson, 55 Augusta Dr, Medford, NY 11763-2406 Ph: (631) 875-2222 | Meredith Johnson, 55 Augusta Dr, Medford, NY 11763-2406 Ph: (631) 875-2222 |
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