Kimberly Johnson, PT, DPT | |
2116 Craig Rd, Eau Claire, WI 54701-6118 | |
(715) 858-4610 | |
Not Available |
Full Name | Kimberly Johnson |
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Gender | Female |
Speciality | Physical Therapist |
Location | 2116 Craig Rd, Eau Claire, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386252823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 16670 (Wisconsin) | Secondary |
225100000X | Physical Therapist | 4651 (New Hampshire) | Secondary |
225100000X | Physical Therapist | PT5680 (Maine) | Primary |
Provider Name | Mountain Center Physical Therapy & Sports Rehab Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649354663 PECOS PAC ID: 8123099223 Enrollment ID: O20040803000793 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Johnson, PT, DPT 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Kimberly Johnson, PT, DPT 2116 Craig Rd, Eau Claire, WI 54701-6118 Ph: (715) 858-4610 |
Anna Marie Byrne, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2116 Craig Rd, Eau Claire, WI 54701 Phone: 715-858-4500 | |
Andrew J Strope, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 517 E Clairemont Ave, Eau Claire, WI 54701 Phone: 715-855-0408 | |
Kasey Kruse, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Lori M Stress, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1262 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-858-4610 | |
Mrs. Holli Ann Kloss, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Mr. Paul F Greene, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Jessica Marie Ortiz-peterson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 |