Logan Anthony Johnson, OTR | |
8685 W Grand River Ave, Brighton, MI 48116-2328 | |
(810) 225-1187 | |
(810) 225-1284 |
Full Name | Logan Anthony Johnson |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 4 Years |
Location | 8685 W Grand River Ave, Brighton, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487253795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XH1200X | Occupational Therapist - Hand | 0006583 (Colorado) | Secondary |
225X00000X | Occupational Therapist | 5201013587 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Athletico Ltd |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20191218001701 |
Mailing Address | Practice Location Address |
---|---|
Logan Anthony Johnson, OTR 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980 | Logan Anthony Johnson, OTR 8685 W Grand River Ave, Brighton, MI 48116-2328 Ph: (810) 225-1187 |
Alan Richard Zirkle, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 833 E Grand River Ave, Brighton, MI 48116 Phone: 810-229-9190 Fax: 810-229-7721 | |
Sarah Kowalczyk, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8542 W Grand River Ave, Brighton, MI 48116 Phone: 734-449-4649 Fax: 734-449-4669 | |
Hannah Tarnaski, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 100 Summit St, Brighton, MI 48116 Phone: 248-378-5059 | |
Shannon Mcbean, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7030 Whitmore Lake Rd, Brighton, MI 48116 Phone: 248-486-3636 Fax: 810-355-4352 | |
Shannon Walter, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8542 W Grand River Ave, Brighton, MI 48116 Phone: 734-449-4649 Fax: 734-449-4669 | |
Rachel Rodeheffer, MOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8542 W Grand River Ave, Brighton, MI 48116 Phone: 734-449-4649 | |
Mrs. Alysia Lee Thomas, MOTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9420 Van Antwerp Rd, Brighton, MI 48116 Phone: 248-626-7114 |