| Mr Jacob Darrell Johnson, DPT | |
|
1515 North Center Street, Suite 5, Lonoke, AR 72086 | |
| (501) 676-5540 | |
| (501) 676-6499 |
| Full Name | Mr Jacob Darrell Johnson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 14 Years |
| Location | 1515 North Center Street, Lonoke, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174873723 | NPI | - | NPPES |
| 127083742 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 3506 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Next Generation Physical Therapy | 2062715444 | 5 |
| Provider Name | Next Generation Physical Therapy |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1477934552 PECOS PAC ID: 2062715444 Enrollment ID: O20160119000724 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob Darrell Johnson, DPT 1515 North Center Street, Suite 5, Lonoke, AR 72086 Ph: (501) 676-5540 | Mr Jacob Darrell Johnson, DPT 1515 North Center Street, Suite 5, Lonoke, AR 72086 Ph: (501) 676-5540 |
Samuel K Philley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 N Center St Ste 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Emilia C Bussard, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 N Center St Ste 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Elizabeth Hall, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1515 N Center St, #5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Justin Allen Vanlandingham, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1515 N Center St, Suite 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Cody Schaff, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1515 N Center St Ste 5, Lonoke, AR 72086 Phone: 501-676-5540 Fax: 501-676-6499 | |
Mrs. Devon Morris, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 Rice Cir, Lonoke, AR 72086 Phone: 501-676-1684 |