| Johnston Physical Therapy & Sports Medicine | |
|
5627 Nw 86th St, Suite 200, Johnston, IA 50131-1738 | |
| (515) 270-0303 | |
| (515) 270-0160 |
| Full Name | Johnston Physical Therapy & Sports Medicine |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5627 Nw 86th St, Johnston, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306899562 | NPI | - | NPPES |
| 0437210 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Iowa) | Primary |
| Provider Name | Andrew J Bartek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568464238 PECOS PAC ID: 3274512512 Enrollment ID: I20040719001290 |
| Provider Name | Amy A Entrekin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609016823 PECOS PAC ID: 8224061080 Enrollment ID: I20050913001024 |
| Provider Name | Alyssa Bolger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356759419 PECOS PAC ID: 8224256169 Enrollment ID: I20140905001834 |
| Provider Name | Grant L Jacobson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134510647 PECOS PAC ID: 7416273172 Enrollment ID: I20150224001726 |
| Provider Name | Dyllan Frahm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992234702 PECOS PAC ID: 6406125558 Enrollment ID: I20170705000465 |
| Provider Name | Benjamin A George |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528566833 PECOS PAC ID: 7911268172 Enrollment ID: I20180302001823 |
| Provider Name | Rebekah A Wetter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477929644 PECOS PAC ID: 1658688171 Enrollment ID: I20180712002827 |
| Provider Name | Tamie Marie Drees |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457872111 PECOS PAC ID: 8921378100 Enrollment ID: I20190904000166 |
| Provider Name | Samantha Jean Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508418930 PECOS PAC ID: 6002145810 Enrollment ID: I20190904000585 |
| Provider Name | Bryan Scott Sumner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588296560 PECOS PAC ID: 8628405867 Enrollment ID: I20200227001049 |
| Provider Name | Colton J Schnetzer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760022537 PECOS PAC ID: 7810325438 Enrollment ID: I20200313001842 |
| Provider Name | Jace M Modrell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679105944 PECOS PAC ID: 3274962113 Enrollment ID: I20200329000370 |
| Provider Name | Joseph Roger Stangl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518568385 PECOS PAC ID: 1052723319 Enrollment ID: I20201210002580 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnston Physical Therapy & Sports Medicine 5627 Nw 86th St, Suite 200, Johnston, IA 50131-1738 Ph: (515) 270-0303 | Johnston Physical Therapy & Sports Medicine 5627 Nw 86th St, Suite 200, Johnston, IA 50131-1738 Ph: (515) 270-0303 |
Andrea Simeck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5406 Merle Hay Rd, Johnston, IA 50131 Phone: 515-727-8757 | |
Kayla Brady, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5406 Merle Hay Rd, Johnston, IA 50131 Phone: 515-727-8750 Fax: 515-727-8757 | |
Melissa Mcginnis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5406 Merle Hay Rd, Johnston, IA 50131 Phone: 515-727-8750 | |
David James Parr, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5627 Nw 86th St # 200, Johnston, IA 50131 Phone: 515-270-0303 | |
Nathan Lucs, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5290 Nw 86th St, Johnston, IA 50131 Phone: 515-875-9706 Fax: 515-875-9707 | |
Laura Vandusseldorp, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5406 Merle Hay Rd, Johnston, IA 50131 Phone: 515-727-8750 | |
Paula R Lawson, PT, PCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5900 Pioneer Pkwy, Johnston, IA 50131 Phone: 515-270-2205 Fax: 515-276-0140 |