| Tyler Johnson, PT, DPT | |
|
28620 N El Mirage Rd Ste B102, Peoria, AZ 85383-2098 | |
| (888) 433-7993 | |
| Not Available |
| Full Name | Tyler Johnson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 28620 N El Mirage Rd Ste B102, Peoria, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275170201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT014269 (Georgia) | Secondary |
| 225100000X | Physical Therapist | 14668 (Tennessee) | Primary |
| Provider Name | Peak Fitness And Physical Therapy, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679858591 PECOS PAC ID: 1355516311 Enrollment ID: O20111202000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Johnson, PT, DPT 28620 N El Mirage Rd Ste B102, Peoria, AZ 85383-2098 Ph: () - | Tyler Johnson, PT, DPT 28620 N El Mirage Rd Ste B102, Peoria, AZ 85383-2098 Ph: (888) 433-7993 |
Michelle Renae Wagoner, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9713 W Tonopah Dr, Peoria, AZ 85382 Phone: 480-381-0220 Fax: 623-594-9094 | |
Bradley Day, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8643 W Kelton Ln Ste 106, Peoria, AZ 85382 Phone: 623-979-8900 Fax: 480-860-0356 | |
Andrew Yanes, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7707 W Deer Valley Rd Ste 100, Peoria, AZ 85382 Phone: 480-706-1161 | |
Total Body Zone Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8440 W Thunderbird Rd, Peoria, AZ 85381 Phone: 623-776-9662 Fax: 623-776-2813 | |
Dr. Lindsey K Tellez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9401 W Thunderbird Rd Ste 190, Peoria, AZ 85381 Phone: 623-977-5451 | |
Lanora Riley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6760 W Thunderbird Rd Ste E110, Peoria, AZ 85381 Phone: 623-846-7614 Fax: 623-846-0993 | |
Alexander Rodriguez Del Villar, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7707 W Deer Valley Rd Ste 100, Peoria, AZ 85382 Phone: 623-376-9100 |