Trista Johnson, OTR | |
2361 Lakewood Ave, Lima, OH 45805-3175 | |
(419) 604-9143 | |
Not Available |
Full Name | Trista Johnson |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 2361 Lakewood Ave, Lima, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770038556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTR 009442 (Ohio) | Primary |
Provider Name | Buckeye Senior Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265167233 PECOS PAC ID: 4284017542 Enrollment ID: O20220818002493 |
Mailing Address | Practice Location Address |
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Trista Johnson, OTR 2361 Lakewood Ave, Lima, OH 45805-3175 Ph: () - | Trista Johnson, OTR 2361 Lakewood Ave, Lima, OH 45805-3175 Ph: (419) 604-9143 |
Christina Callahan, COTA/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 370 N Eastown Rd, Lima, OH 45807 Phone: 419-221-6051 | |
Alex Walter, S/OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 S Main St, Lima, OH 45804 Phone: 567-371-4430 | |
Mr. John Alan Hollenbacher, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5095 Stewart Rd, Lima, OH 45801 Phone: 419-230-0042 | |
Dionna Noonan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 804 S Mumaugh Rd, Lima, OH 45804 Phone: 419-225-9040 Fax: 419-225-9835 | |
Julia Hutchins, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 S Main St, Lima, OH 45804 Phone: 567-371-4430 | |
Marla Balog, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2075 N Eastown Rd, Lima, OH 45807 Phone: 419-331-2442 | |
Mrs. Diane Carol Winger, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Shawnee Rd, Lima, OH 45805 Phone: 419-999-2010 Fax: 419-999-6284 |