Nicholas Johnson, DPT | |
815 Highway 51 N, Brookhaven, MS 39601-2079 | |
(601) 554-7400 | |
Not Available |
Full Name | Nicholas Johnson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 815 Highway 51 N, Brookhaven, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841554516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5116 (Mississippi) | Primary |
Provider Name | Southern Bone & Joint Specialists Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831110725 PECOS PAC ID: 1254328818 Enrollment ID: O20040427000878 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Johnson, DPT 3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 39401-8246 Ph: (601) 554-7400 | Nicholas Johnson, DPT 815 Highway 51 N, Brookhaven, MS 39601-2079 Ph: (601) 554-7400 |
Bruce Currie, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 Brookman Dr, Brookhaven, MS 39601 Phone: 601-833-2330 | |
Richard A Barker, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 509 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-833-7317 | |
Timothy Slay, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 Highway 51 N, Brookhaven, MS 39601 Phone: 601-823-5255 | |
Mrs. Christi Evans Mills, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 Highway 51 N, Brookhaven, MS 39601 Phone: 601-835-0842 Fax: 601-835-0845 | |
Staci P Anding, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 Brookman Dr, Brookhaven, MS 39601 Phone: 601-833-2330 | |
Timothy Charles Cunningham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Highway 51 N, Brookhaven, MS 39601 Phone: 601-833-7317 |