Brent Johnson, DPT | |
1260 State Hwy 25, Monticello, MN 55362-8447 | |
(763) 260-5401 | |
Not Available |
Full Name | Brent Johnson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1260 State Hwy 25, Monticello, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558760835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9690 (Minnesota) | Primary |
Provider Name | Fairview Express Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Provider Name | Healtheast Outpatient Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040 |
Mailing Address | Practice Location Address |
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Brent Johnson, DPT 1260 State Highway 25, Monticello, MN 55362-8447 Ph: (763) 260-5401 | Brent Johnson, DPT 1260 State Hwy 25, Monticello, MN 55362-8447 Ph: (763) 260-5401 |
Dr. Megan Siebert, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 Hart Blvd Ste 10, Monticello, MN 55362 Phone: 763-295-6878 | |
Mrs. Shirley Marie Kleinwachter, P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 Hart Blvd, Monticello, MN 55362 Phone: 763-295-6878 | |
Elliott Olsen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 Hart Blvd Ste 10, Monticello, MN 55362 Phone: 763-295-6878 | |
Kelley M Mcgowan, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 211 Hwy 25, Monticello, MN 55362 Phone: 763-295-4105 | |
Paul William Stokman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 Cedar St, Suite 106, Monticello, MN 55362 Phone: 763-295-4201 Fax: 763-295-3895 | |
Sara Macek, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1107 Hart Blvd Ste 10, Monticello, MN 55362 Phone: 763-295-6878 | |
Mrs. Bethany Clara Rathmanner, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1260 Highway 25 S, Monticello, MN 55362 Phone: 763-260-8401 Fax: 763-295-4203 |