Gregory Paul Johnson, PT, DPT | |
986 Quail Rdg, Keller, TX 76248-2925 | |
(903) 818-7696 | |
Not Available |
Full Name | Gregory Paul Johnson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 986 Quail Rdg, Keller, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093080228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1187290 (Texas) | Primary |
Provider Name | Axis Brain And Back Institute Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689085193 PECOS PAC ID: 0042432015 Enrollment ID: O20141106000405 |
Mailing Address | Practice Location Address |
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Gregory Paul Johnson, PT, DPT 986 Quail Rdg, Keller, TX 76248-2925 Ph: (903) 818-7696 | Gregory Paul Johnson, PT, DPT 986 Quail Rdg, Keller, TX 76248-2925 Ph: (903) 818-7696 |
Jacob T Jackson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Bourland Rd Ste 170b, Keller, TX 76248 Phone: 800-404-6050 | |
Erin Clifton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1652 Keller Parkway, Ste 100, Keller, TX 76248 Phone: 871-562-3111 Fax: 817-562-3114 | |
Mrs. Rachelle Lea Shelton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1652 Keller Parkway, Ste 100, Keller, TX 76248 Phone: 817-562-3111 Fax: 817-562-3114 | |
Kimberely Holloway, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1211 S Main St Ste 500, Keller, TX 76248 Phone: 312-882-7386 Fax: 334-593-8032 | |
Olivia Kendall, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4120 Heritage Trace Parkway, Keller, TX 76244 Phone: 817-741-7585 Fax: 817-741-7587 | |
Rebecca Meehan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 460 Keller Pkwy, Suite 460a, Keller, TX 76248 Phone: 817-562-1474 |