Douglas Brent Johnson, RPT | |
3440 S Higuera St, Suite 120, San Luis Obispo, CA 93401-7393 | |
(805) 439-2159 | |
(805) 439-2160 |
Full Name | Douglas Brent Johnson |
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Gender | Male |
Speciality | Physical Therapy |
Experience | 37 Years |
Location | 3440 S Higuera St, San Luis Obispo, California |
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 |
---|---|---|---|
1609895432 | NPI | - | NPPES |
PT0145680 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT14568 (California) | Primary |
Provider Name | Sports & Wellness Physical Therapy, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639195761 PECOS PAC ID: 5294701900 Enrollment ID: O20040903000525 |
Mailing Address | Practice Location Address |
---|---|
Douglas Brent Johnson, RPT Po Box 3070, Shell Beach, CA 93448-3070 Ph: (805) 439-2159 | Douglas Brent Johnson, RPT 3440 S Higuera St, Suite 120, San Luis Obispo, CA 93401-7393 Ph: (805) 439-2159 |
Movement For Life Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 862 Meinecke Ave Ste 101, San Luis Obispo, CA 93405 Phone: 805-619-0414 Fax: 805-549-5253 | |
Bethany Ritter Askay, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1545 Higuera St, San Luis Obispo, CA 93401 Phone: 805-543-5633 Fax: 805-543-5990 | |
Sport, Spine & Orthopedic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 862 Meinecke Ave, Suite 101, San Luis Obispo, CA 93405 Phone: 805-541-4714 Fax: 805-541-4235 | |
Dr. Logan Marshall, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 862 Meinecke Ave Ste 101, San Luis Obispo, CA 93405 Phone: 805-619-0414 Fax: 805-549-5253 | |
Mr. Laird Madison Reeds, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1422 Monterey St Ste C102, San Luis Obispo, CA 93401 Phone: 805-543-5100 Fax: 805-543-5106 | |
David Walter Svetich, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 211 Tank Farm Rd Ste B, San Luis Obispo, CA 93401 Phone: 805-714-5699 | |
Movement For Life Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 805 Aerovista Pl Ste 104, San Luis Obispo, CA 93401 Phone: 805-543-7771 Fax: 805-543-7761 |