Mr Carl Austin Johnson, MPT | |
285 W Francis, Blackfoot Physical Therapy, Blackfoot, ID 83221 | |
(208) 785-0123 | |
(208) 782-1885 |
Full Name | Mr Carl Austin Johnson |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 30 Years |
Location | 285 W Francis, Blackfoot, Idaho |
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 |
---|---|---|---|
1912063652 | NPI | - | NPPES |
T4629 | Other | ID | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT944 (Idaho) | Primary |
Provider Name | Mobley Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710163951 PECOS PAC ID: 6800825787 Enrollment ID: O20100922000869 |
Mailing Address | Practice Location Address |
---|---|
Mr Carl Austin Johnson, MPT 5112 Lindee Lane, Idaho Falls, ID 83406 Ph: (208) 523-4815 | Mr Carl Austin Johnson, MPT 285 W Francis, Blackfoot Physical Therapy, Blackfoot, ID 83221 Ph: (208) 785-0123 |
Tyce Alden Stewart, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 Fax: 208-782-1885 | |
Bryan J. Gibby, MSPT, CWS Physical Therapist Medicare: Medicare Enrolled Practice Location: 1492 Christensen Dr, Blackfoot, ID 83221 Phone: 208-240-7221 | |
Jessica Annelaine Vandyke, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 282 W Bridge St, Blackfoot, ID 83221 Phone: 208-684-0021 | |
Brian Don Boehme, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Pete Richar Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 131 N Oak St, Blackfoot, ID 83221 Phone: 208-684-2444 | |
Mr. Dustin Cade Schmitt, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 | |
Jonathan Dac-moang Liem, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1441 Parkway Dr Ste 1, Blackfoot, ID 83221 Phone: 208-785-3446 Fax: 208-980-7241 |