Laura Marie Johnson, DPT is a
Physical Medicine & Rehabilitation based in Centralia, Illinois. Laura Marie Johnson is licensed to practice in Illinois (license number 070.023507) and her current practice location is
1441 W Broadway, Centralia, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 532-0810.
NPI number for Laura Marie Johnson is 1346707858 and her current mailing address is 400 N Pleasant Ave, Centralia, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346707858.
Healthcare Provider's Profile
Full Name | Laura Marie Johnson |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 1441 W Broadway, Centralia, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346707858
- Provider Enumeration Date: 02/21/2019
- Last Update Date: 07/19/2021
Medical Identifiers
Medical identifiers for Laura Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346707858 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 070.023507 (Illinois) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 070.023507 (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. Laura Marie 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 |
Laura Marie Johnson, DPT 400 N Pleasant Ave, Centralia, IL 62801 Ph: (618) 436-8641 | Laura Marie Johnson, DPT 1441 W Broadway, Centralia, IL 62801 Ph: (618) 532-0810 |
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