Travis Johnston, | |
391 Common St, Dedham, MA 02026-4055 | |
(877) 407-3422 | |
(877) 407-4329 |
Full Name | Travis Johnston |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 391 Common St, Dedham, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043919608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTL26654 (Massachusetts) | Primary |
Provider Name | Fox Rehab Ma Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1497174437 PECOS PAC ID: 3678895000 Enrollment ID: O20141213000299 |
Mailing Address | Practice Location Address |
---|---|
Travis Johnston, 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 Ph: (877) 407-3422 | Travis Johnston, 391 Common St, Dedham, MA 02026-4055 Ph: (877) 407-3422 |
Daniel Breeling, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 606 Providence Hwy, Dedham, MA 02026 Phone: 857-444-1010 | |
Gloria Perng, Physical Therapist Medicare: Medicare Enrolled Practice Location: 391 Common St, Dedham, MA 02026 Phone: 877-407-3422 Fax: 877-407-4329 | |
Margaret Lamir Heger, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Providence Highway, Dedham, MA 02026 Phone: 781-326-8332 Fax: 781-326-8262 | |
Deszarae Zohar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 391 Common St, Dedham, MA 02026 Phone: 877-407-3422 Fax: 877-407-4329 | |
Bradley Lohbeck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 460 Providence Hwy, Dedham, MA 02026 Phone: 781-381-5242 Fax: 781-686-9250 | |
Shannon Condon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 391 Common St, Dedham, MA 02026 Phone: 877-407-3422 Fax: 877-407-4329 |