| Kollin B Johnson, DPT | |
|
1398 Lake St S Ste 100, Forest Lake, MN 55025-2720 | |
| (651) 275-2700 | |
| (651) 309-0000 |
| Full Name | Kollin B Johnson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1398 Lake St S Ste 100, Forest Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962233379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13639 (Minnesota) | Primary |
| 225100000X | Physical Therapist | 17069-24 (Wisconsin) | Secondary |
| Provider Name | Therapy Partners Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407809494 PECOS PAC ID: 4486552593 Enrollment ID: O20031229000333 |
| Mailing Address | Practice Location Address |
|---|---|
| Kollin B Johnson, DPT 3500 American Blvd W Ste 300, Bloomington, MN 55431-4442 Ph: (952) 512-5600 | Kollin B Johnson, DPT 1398 Lake St S Ste 100, Forest Lake, MN 55025-2720 Ph: (651) 275-2700 |
Charles Schwiesow, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 146 Lake St N, Forest Lake, MN 55025 Phone: 651-464-8502 | |
Hunter N Huberty, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 146 Lake St N Ste 200, Forest Lake, MN 55025 Phone: 651-275-4706 Fax: 651-464-8547 | |
John Altnow, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1467 Lake St S Ste 300, Forest Lake, MN 55025 Phone: 651-241-3840 | |
Rebecca Varoga, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 146 Lake St N, Forest Lake, MN 55025 Phone: 651-275-4706 Fax: 651-464-8547 | |
Lindsey Carr, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1467 Lake St S Ste 300, Forest Lake, MN 55025 Phone: 651-241-3840 | |
Janet Darlene Olson, PT, OTR Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 146 Lake St N, Forest Lake, MN 55025 Phone: 651-464-8502 | |
Curtis R Hennen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 W Broadway Ave, Forest Lake, MN 55025 Phone: 651-982-1504 |