| Jonathan James Hermansen, PT, DPT | |
|
2311 N Main St Ste 102, Cedar City, UT 84721-9761 | |
| (435) 255-7341 | |
| (435) 701-2387 |
| Full Name | Jonathan James Hermansen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 2311 N Main St Ste 102, Cedar City, Utah |
| 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 |
|---|---|---|---|
| 1922623388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11775831-2401 (Utah) | Secondary |
| 225100000X | Physical Therapist | 2305215889 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Physical Therapy Llc | 6406759281 | 181 |
| Provider Name | Tidewater Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan James Hermansen, PT, DPT Po Box 912042, St George, UT 84791-2042 Ph: (435) 255-7341 | Jonathan James Hermansen, PT, DPT 2311 N Main St Ste 102, Cedar City, UT 84721-9761 Ph: (435) 255-7341 |
Katherine Anne Jakus, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1858 S Cross Hollow Dr, Cedar City, UT 84720 Phone: 435-590-1142 | |
Braxton Shawn Higgins, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1333 N Main St Ste 6, Cedar City, UT 84721 Phone: 435-868-6200 | |
Southern Utah Physical Therapy & Rehabilitation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 990 S Bentley Blvd, Cedar City, UT 84720 Phone: 435-867-8024 Fax: 435-867-8034 | |
Dr. Nickolas Montague, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 888 Sage Dr Ste 102, Cedar City, UT 84720 Phone: 435-233-7006 | |
Mr. Brady K Englestead, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 166 W 1325 N, Suite 100, Cedar City, UT 84720 Phone: 435-586-0064 Fax: 435-867-1243 | |
Southern Utah Physical Therapy & Rehabilitation P.c. Physical Therapist Medicare: Medicare Enrolled Practice Location: 166 W 1325 N, Suite 100, Cedar City, UT 84720 Phone: 435-586-0064 Fax: 435-867-1243 | |
Trenton Poulson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1303 N Main St, Cedar City, UT 84721 Phone: 435-868-5726 |