Kenneth R Johnson Jr, PT,DPT,OCS,FAAOMPT | |
4065 E Plano Pkwy, Suite 220, Plano, TX 75074 | |
(214) 886-5756 | |
Not Available |
Full Name | Kenneth R Johnson Jr |
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Gender | Male |
Speciality | Physical Therapist |
Location | 4065 E Plano Pkwy, Plano, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265680722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1182217 (Texas) | Primary |
Provider Name | Fit To Move Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174201974 PECOS PAC ID: 6800249244 Enrollment ID: O20240201001043 |
Mailing Address | Practice Location Address |
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Kenneth R Johnson Jr, PT,DPT,OCS,FAAOMPT 10405 Wentworth Dr, Rowlett, TX 75089-8491 Ph: (214) 886-5756 | Kenneth R Johnson Jr, PT,DPT,OCS,FAAOMPT 4065 E Plano Pkwy, Suite 220, Plano, TX 75074 Ph: (214) 886-5756 |
Shara Hilary Cummings, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4001 W 15th St, Plano, TX 75093 Phone: 972-979-6577 | |
Malavika Venkataraman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3208 Thunderbird Ln, Plano, TX 75075 Phone: 972-422-2214 | |
Kathleen Oliva, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Los Rios Blvd Ste 132, Plano, TX 75074 Phone: 972-509-5070 Fax: 972-509-1557 | |
Thomas Alan Domino, PT, SCS, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Ohio Dr Ste 110, Plano, TX 75093 Phone: 972-985-2622 | |
Kendra Lee Pike, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 Ohio Dr, Suite 110, Plano, TX 75093 Phone: 972-985-2622 | |
Gayle Talley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7709 San Jacinto Pl # 203, Plano, TX 75024 Phone: 469-331-0030 | |
Mr. Bruce Anthony Lamotte Jr., PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5765 Bozeman Dr Apt 1205, Plano, TX 75024 Phone: 817-223-4501 |