Mr Brett Charles Johnson, MSPT | |
1132 E Polston Ave, Post Falls, ID 83854-6045 | |
(208) 777-7800 | |
(208) 777-9209 |
Full Name | Mr Brett Charles Johnson |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1132 E Polston Ave, Post Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578586178 | NPI | - | NPPES |
1134149941 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3450 (Idaho) | Primary |
Provider Name | River City Physical Therapy |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1134149941 PECOS PAC ID: 4688662083 Enrollment ID: O20040513000109 |
Provider Name | Sandpoint Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558828020 PECOS PAC ID: 0840533006 Enrollment ID: O20190510001226 |
Mailing Address | Practice Location Address |
---|---|
Mr Brett Charles Johnson, MSPT 1301 N Division Ave, Sandpoint, ID 83864-8268 Ph: (208) 265-0610 | Mr Brett Charles Johnson, MSPT 1132 E Polston Ave, Post Falls, ID 83854-6045 Ph: (208) 777-7800 |
Jesse Brouwer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 W 9th Ave, Post Falls, ID 83854 Phone: 208-777-9740 Fax: 208-777-8316 | |
Matthew E Kifer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 640 N Thornton St, Post Falls, ID 83854 Phone: 208-773-2888 Fax: 208-806-0222 | |
Sports Medicine Services Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 925 E Polston Ave, Post Falls, ID 83854 Phone: 208-772-8147 | |
Nathaniel Jay Delegard, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1610 E Schneidmiller Ave, Post Falls, ID 83854 Phone: 208-773-8111 | |
Ryan Neall, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 640 N Thornton St, Post Falls, ID 83854 Phone: 208-773-2888 Fax: 208-806-0222 | |
Mr. Ben John Baarspul, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 238 S Sequoia St, Post Falls, ID 83854 Phone: 503-704-2150 | |
Brandon Richard Schwintek, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1610 E Schneidmiller Ave, Post Falls, ID 83854 Phone: 208-773-8111 Fax: 208-773-8385 |