| Tyler Johnson, | |
|
1715 Northfield Dr, Rochester Hills, MI 48309-3819 | |
| (248) 293-2400 | |
| Not Available |
| Full Name | Tyler Johnson |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist - Gerontology |
| Location | 1715 Northfield Dr, Rochester Hills, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114499613 | NPI | - | NPPES |
| 5201009026 | Other | MI | OCCUPATIONAL THERAPIST LICENSE |
| 13225 | Other | CA | OCCUPATIONAL THERAPIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XG0600X | Occupational Therapist - Gerontology | (* (Not Available)) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1548865876 PECOS PAC ID: 2365718277 Enrollment ID: O20210205002328 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Johnson, 46401 Jonathan Cir Apt 104, Shelby Township, MI 48317-3864 Ph: () - | Tyler Johnson, 1715 Northfield Dr, Rochester Hills, MI 48309-3819 Ph: (248) 293-2400 |
Tonya Wiegand, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 South Blvd W, Rochester Hills, MI 48309 Phone: 248-852-7800 | |
Chelsea Schmidt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2189 Avon Industrial Dr, Rochester Hills, MI 48309 Phone: 248-726-2286 | |
Mr. Sue Ellen Kozub, OTR/CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 455 Barclay Cir, Suite B-1, Rochester Hills, MI 48307 Phone: 248-853-6965 Fax: 248-853-6972 | |
Robert Lawrence Gustin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 South Blvd W, Rochester Hills, MI 48309 Phone: 248-852-7800 | |
Melanie Ann Minard Brown, MOT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1910 S Rochester Rd, Rochester Hills, MI 48307 Phone: 248-218-5150 Fax: 248-218-5155 | |
Super Talkers, Pllc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 272 E Auburn Rd, Rochester Hills, MI 48307 Phone: 248-579-8155 |