Obadiah Luke Johnson, DPT | |
244 N Minden Ave, Minden, NE 68959-1643 | |
(308) 832-1500 | |
(308) 832-1551 |
Full Name | Obadiah Luke Johnson |
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Gender | Male |
Speciality | Physical Therapist |
Location | 244 N Minden Ave, Minden, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679910103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2922 (Nebraska) | Primary |
Provider Name | Family Physical Therapy & Sports Center |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1356373658 PECOS PAC ID: 7214970177 Enrollment ID: O20050602000441 |
Mailing Address | Practice Location Address |
---|---|
Obadiah Luke Johnson, DPT 244 N Minden Ave, Minden, NE 68959-1643 Ph: (308) 832-1500 | Obadiah Luke Johnson, DPT 244 N Minden Ave, Minden, NE 68959-1643 Ph: (308) 832-1500 |
Mr. Douglas D Ehlers, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 244 N Minden Ave, Minden, NE 68959 Phone: 308-832-1500 Fax: 308-832-1551 | |
Mariah Miller, PT, DPT, LAT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 244 N Minden Ave, Minden, NE 68959 Phone: 308-832-1500 Fax: 308-832-1551 | |
Logan Renee Payne, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 244 N Minden Ave, Minden, NE 68959 Phone: 308-832-1500 Fax: 308-832-1551 | |
Mary Elys Lutkemeier, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 244 N Minden Ave, Minden, NE 68959 Phone: 308-832-3400 | |
Colton David Walker, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 244 N Minden Ave, Minden, NE 68959 Phone: 308-832-1500 |