Ms Tammy W Johnson, PT | |
2015 Vaughn Rd Nw, Ste 130, Kennesaw, GA 30144-7801 | |
(770) 425-6661 | |
(770) 425-1189 |
Full Name | Ms Tammy W Johnson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2015 Vaughn Rd Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740329994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTL.0017859 (Colorado) | Primary |
Provider Name | Altitude Physical Therapy & Sports Medicine Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1548218241 PECOS PAC ID: 8628050267 Enrollment ID: O20120808000289 |
Mailing Address | Practice Location Address |
---|---|
Ms Tammy W Johnson, PT 933 Alpine Ave, Boulder, CO 80304-3305 Ph: (303) 444-0378 | Ms Tammy W Johnson, PT 2015 Vaughn Rd Nw, Ste 130, Kennesaw, GA 30144-7801 Ph: (770) 425-6661 |
Divya Subhadra Nadimpalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2011 Mccook Dr Nw, Kennesaw, GA 30144 Phone: 901-212-5834 | |
Laura Bonin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St Nw Ste 602, Kennesaw, GA 30144 Phone: 770-558-5491 | |
Mr. Ross Joseph Brakeville, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2300 Kinsale Point, Kennesaw, GA 30152 Phone: 678-469-3007 Fax: 404-350-9405 | |
Brittany Strache, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Chastain Rd Nw, Ste 428, Kennesaw, GA 30144 Phone: 770-425-6701 Fax: 770-425-6703 | |
Mary Yostpille, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2774 Cobb Pkwy Nw Ste 112, Kennesaw, GA 30152 Phone: 678-809-8448 | |
Leslie Cole Landen, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015 Vaughn Rd Nw Ste 130, Kennesaw, GA 30144 Phone: 770-425-6661 | |
Dr. Dustin Dobbs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3105 Creekside Village Dr Nw, Suite 701, Kennesaw, GA 30144 Phone: 678-574-6868 |