Jennifer Johnson, PT is a
Physical Therapist based in Stockton, Illinois. Jennifer Johnson is licensed to practice in Illinois (license number 070013008) and her current practice location is
501 E Front Ave, Stockton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 947-2215.
NPI number for Jennifer Johnson is 1194818385 and her current mailing address is 3663 S Willow Rd, Stockton, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194818385.
Healthcare Provider's Profile
Full Name | Jennifer Johnson |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 501 E Front Ave, Stockton, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194818385
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 02/19/2020
Medical Identifiers
Medical identifiers for Jennifer Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194818385 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070013008 (Illinois) | Primary |
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. Jennifer Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Johnson, PT 3663 S Willow Rd, Stockton, IL 61085-9516 Ph: (815) 858-5494 | Jennifer Johnson, PT 501 E Front Ave, Stockton, IL 61085-1444 Ph: (815) 947-2215 |
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