| Johnson's Functional Village, Llc | |
|
8000 Madison Blvd Ste D102-208, Madison, AL 35758-2031 | |
| (256) 299-5380 | |
| (256) 464-3045 |
| Full Name | Johnson's Functional Village, Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 8000 Madison Blvd Ste D102-208, Madison, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184203010 | NPI | - | NPPES |
| 1225481781 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson's Functional Village, Llc 8000 Madison Blvd Ste D102-208, Madison, AL 35758-2031 Ph: (256) 299-5380 | Johnson's Functional Village, Llc 8000 Madison Blvd Ste D102-208, Madison, AL 35758-2031 Ph: (256) 299-5380 |
Jacob Wood, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 33 Hughes Rd, Madison, AL 35758 Phone: 256-319-9327 Fax: 256-319-9328 | |
Lauren Goodson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8331 Madison Blvd Ste 300, Madison, AL 35758 Phone: 256-883-7339 | |
Ms. Mary Therese Mayhan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8331 Madison Blvd Ste 300, Madison, AL 35758 Phone: 256-883-7338 Fax: 256-883-7135 | |
Caroline Thomas Estes, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8475 Wann Drive, Madison, AL 35758 Phone: 256-704-1700 | |
Alison Fields, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 97 Hughes Rd. Suite H, Pediatric Therapy Link Of North Alabama, Madison, AL 35758 Phone: 256-883-7338 | |
Mrs. Melissa M Yarbrough, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 97 Hughes Rd, Suite H, Madison, AL 35758 Phone: 256-883-7338 Fax: 256-883-7135 |