Dr Jennifer Jo Kostik Johnson, DPT, ATC is a
Specialist/technologist - Athletic Trainer based in West Newton, Pennsylvania. Dr Jennifer Jo Kostik Johnson is licensed to practice in Pennsylvania (license number RT003595) and her current practice location is
112 Walnut Ln, Suite 10, West Newton, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(724) 872-0356.
NPI number for Dr Jennifer Jo Kostik Johnson is 1134163538 and her current mailing address is 127 Shultz St, Connellsville, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134163538.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Jo Kostik Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Specialist/technologist - Athletic Trainer |
|---|
| Location | 112 Walnut Ln, West Newton, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134163538
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Dr Jennifer Jo Kostik Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134163538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | PT017304L (Pennsylvania) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | RT003595 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Jo Kostik Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Jennifer Jo Kostik Johnson, DPT, ATC 127 Shultz St, Connellsville, PA 15425-2220 Ph: (724) 277-2365 | Dr Jennifer Jo Kostik Johnson, DPT, ATC 112 Walnut Ln, Suite 10, West Newton, PA 15089-1170 Ph: (724) 872-0356 |
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