Kirk Johnson, DPT | |
3289 Court St, Pekin, IL 61554-6208 | |
(309) 347-0090 | |
Not Available |
Full Name | Kirk Johnson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 9 Years |
Location | 3289 Court St, Pekin, Illinois |
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 |
---|---|---|---|
1609302637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05012167A (Indiana) | Secondary |
225100000X | Physical Therapist | 070022945 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athletico Ltd | 4789602681 | 1963 |
Provider Name | Accelerated Rehabilitation Centers Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1205875713 PECOS PAC ID: 2567372931 Enrollment ID: O20040224000455 |
Provider Name | Athletico Ltd |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342 |
Mailing Address | Practice Location Address |
---|---|
Kirk Johnson, DPT 625 Enterprise Dr, Oak Brook, IL 60523-8813 Ph: (630) 575-1980 | Kirk Johnson, DPT 3289 Court St, Pekin, IL 61554-6208 Ph: (309) 347-0090 |
Sherry L Litwiller, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2351 Broadway St, Pekin, IL 61554 Phone: 309-353-5940 Fax: 309-353-1654 | |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3289 Court St, Pekin, IL 61554 Phone: 309-347-0090 | |
Joashly Calingacion, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 603 S 13th St, Pekin, IL 61554 Phone: 309-353-0439 | |
Edward J Hodel Iv, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2988 Court St, Pekin, IL 61554 Phone: 309-353-5940 Fax: 309-353-1654 | |
Rebekah A Dagraedt, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3289 Court St, Pekin, IL 61554 Phone: 309-347-0090 Fax: 309-347-0098 | |
Sandra Kay Eitenmiller, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2501 Allentown Rd, Pekin, IL 61554 Phone: 309-347-3121 Fax: 309-347-3607 | |
Mr. Rodney D. Wolf, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2220 State St, Pekin, IL 61554 Phone: 309-353-8514 Fax: 309-353-8514 |