Kimberly Johnson, is a
Occupational Therapist - Gerontology based in Blossom, Texas. Kimberly Johnson is licensed to practice in Texas (license number 108288) and her current practice location is
5107 Us Highway 82 E, Blossom, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 703-9483.
NPI number for Kimberly Johnson is 1912757287 and her current mailing address is 5107 Us Highway 82 E, Blossom, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912757287.
Healthcare Provider's Profile
| Full Name | Kimberly Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist - Gerontology |
|---|
| Location | 5107 Us Highway 82 E, Blossom, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1912757287
- Provider Enumeration Date: 03/27/2024
- Last Update Date: 03/27/2024
Medical Identifiers
Medical identifiers for Kimberly Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912757287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225XG0600X | Occupational Therapist - Gerontology | 108288 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Johnson,
5107 Us Highway 82 E,
Blossom, TX 75416-4161
Ph: () - | Kimberly Johnson,
5107 Us Highway 82 E,
Blossom, TX 75416-4161
Ph: (903) 703-9483 |
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