Mrs Mary Jolene Johnson, MPT | |
724 W Main St, Lewisville, TX 75067-3514 | |
(972) 434-6024 | |
Not Available |
Full Name | Mrs Mary Jolene Johnson |
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Gender | Female |
Speciality | Physical Therapist |
Location | 724 W Main St, Lewisville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194942037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1157053 (Texas) | Primary |
Provider Name | Greater Lewisville Therapy Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508938218 PECOS PAC ID: 0547247108 Enrollment ID: O20040701000616 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Jolene Johnson, MPT 11188 Blackhawk Dr, Frisco, TX 75034-7372 Ph: (214) 705-9430 | Mrs Mary Jolene Johnson, MPT 724 W Main St, Lewisville, TX 75067-3514 Ph: (972) 434-6024 |
Cathy Faye Ruelas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 N Valley Pkwy, Ste 300, Lewisville, TX 75067 Phone: 972-353-5437 | |
Mrs. Cindy Dorazio Goetz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 966 N Garden Ridge, Suite 530, Lewisville, TX 75077 Phone: 972-420-6605 Fax: 972-436-2770 | |
Namrata Prakash Keswani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1301 Justin Rd Ste 206, Lewisville, TX 75077 Phone: 972-317-7775 | |
Mr. William M Herritage Ii, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 724 W Main, Ste 180, Lewisville, TX 75067 Phone: 972-434-6024 Fax: 972-434-2784 | |
Ajay Agrawal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 316 Wiltshire Blvd, Lewisville, TX 75056 Phone: 760-532-7808 | |
Lauren Deems, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2500 Sir Wade Way, Lewisville, TX 75056 Phone: 214-213-0899 | |
Mr. Scott Frederick Mcgough, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 724 W Main St Ste 180, Lewisville, TX 75067 Phone: 972-434-6024 Fax: 972-434-2784 |