Kristine C Johnson, PT | |
120 Graham Way Ste 110, Shelburne, VT 05482-7217 | |
(802) 657-7990 | |
Not Available |
Full Name | Kristine C Johnson |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 29 Years |
Location | 120 Graham Way Ste 110, Shelburne, Vermont |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114093572 | NPI | - | NPPES |
06528521 | Other | BLUE CROSS | |
1021737 | Medicaid | VT | |
43V402 | Other | MBP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0400002908 (Vermont) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pt 360 Inc | 0749469906 | 21 |
Provider Name | Pt 360 Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609183177 PECOS PAC ID: 0749469906 Enrollment ID: O20110120000820 |
Mailing Address | Practice Location Address |
---|---|
Kristine C Johnson, PT 426 Industrial Ave, Suite 190, Williston, VT 05495-4448 Ph: (802) 860-4360 | Kristine C Johnson, PT 120 Graham Way Ste 110, Shelburne, VT 05482-7217 Ph: (802) 657-7990 |
Michala Dean, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 166 Athletic Dr, Shelburne, VT 05482 Phone: 802-985-4440 | |
Lorraine Farrell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 Executive Drive, Shelburne, VT 05482 Phone: 802-324-8455 | |
Mrs. Nicole Whitney Davignon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 166 Athletic Dr, Shelburne, VT 05482 Phone: 802-985-4440 Fax: 802-985-4445 | |
Lorraine M Farrell Pt Med Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 Executive Drive, Shelburne, VT 05482 Phone: 802-324-8455 | |
Rebecca Street, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 Graham Way Ste 110, Shelburne, VT 05482 Phone: 802-985-9360 | |
David Kirk Meier Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 166 Athletic Dr, Shelburne, VT 05482 Phone: 802-985-4440 |