Alicia Blackham Johnson, DPT in Colonial Heights, VA - Medicare Physical Therapy Provider

Alicia Blackham Johnson, DPT is a medicare enrolled "Physical Therapist" provider in Colonial Heights, Virginia. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Tidewater Physical Therapy Llc and her current practice location is 300b Temple Lake Dr Ste 1, Colonial Heights, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 524-9036.

Alicia Blackham Johnson is licensed to practice in Virginia (license number 2305212681) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285292862.

Contact Information

	Alicia Blackham Johnson, DPT
	300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834-2973
	(804) 524-9036
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alicia Blackham Johnson
Gender	Female
Speciality	Physical Therapy
Experience	6 Years
Location	300b Temple Lake Dr Ste 1, Colonial Heights, Virginia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alicia Blackham Johnson graduated from medical school in 2018

NPI Data:

NPI Number: 1285292862
Provider Enumeration Date: 05/30/2019
Last Update Date: 08/10/2020

Medicare PECOS Information:

PECOS PAC ID: 1355678012
Enrollment ID: I20190805000798

Medical Identifiers

Medical identifiers for Alicia Blackham Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285292862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11099512-2401 (Utah)	Secondary
225100000X	Physical Therapist	2305212681 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tidewater Physical Therapy Llc	6406759281	188

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alicia Blackham Johnson allows following entities to bill medicare on her behalf.

Provider Name	Tidewater Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029

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. Alicia Blackham Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alicia Blackham Johnson, DPT 7630 Wistar Village Dr Apt C, Henrico, VA 23228-3524 Ph: (702) 994-6790	Alicia Blackham Johnson, DPT 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834-2973 Ph: (804) 524-9036

Reviews and Comments

Physical Therapist in Colonial Heights, VA

Michelle Candice Crouse, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834 Phone: 804-526-5888 Fax: 804-526-5401
William Kyle Richardson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834 Phone: 804-452-4903
Roya Kordi Mirshahi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 320 Charles Dimmock Parkway, Suite 6, Colonial Heights, VA 23834 Phone: 804-524-0533 Fax: 804-524-0133
Kavita V Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2305 Swift Bluff Dr, Colonial Heights, VA 23834 Phone: 804-536-4412
Zachary J. Muscato, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 300b Temple Lake Dr Ste 1, Colonial Heights, VA 23834 Phone: 804-524-9036 Fax: 804-524-9039
Scott Rotsted, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 430 Claremont Ct, Suite 122, Colonial Heights, VA 23834 Phone: 804-526-6062 Fax: 804-526-9094

Alicia Blackham Johnson, DPT - Medicare Physical Therapist in Colonial Heights, VA