| Michael Lewis Johnson, MSPT | |
|
1308 Military Rd, Benton, AR 72015-2911 | |
| (501) 778-4960 | |
| (501) 778-4968 |
| Full Name | Michael Lewis Johnson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 27 Years |
| Location | 1308 Military Rd, Benton, Arkansas |
| 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 |
|---|---|---|---|
| 1558687640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2275 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pro Active Rehab, Inc | 2668482340 | 14 |
| Provider Name | Pro Active Rehab, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1215021159 PECOS PAC ID: 2668482340 Enrollment ID: O20060425000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Lewis Johnson, MSPT Po Box 1890, Benton, AR 72018-1890 Ph: (501) 778-4960 | Michael Lewis Johnson, MSPT 1308 Military Rd, Benton, AR 72015-2911 Ph: (501) 778-4960 |
Derick Ray Hampel, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Mcneil St, Benton, AR 72015 Phone: 501-315-0984 | |
Erin Elizabeth Andrews, MS, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5701 Springhill Road, Benton, AR 72015 Phone: 501-653-2255 Fax: 501-653-2257 | |
William Anthony Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1214 Salem Road, Suite A, Benton, AR 72019 Phone: 501-915-4354 | |
Ms. Kathyrn Elaine Sandusky, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17706 I-30, Ste 3, Benton, AR 72015 Phone: 501-315-4414 Fax: 501-315-3467 | |
Mr. Richard Dale Stevens, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2010 Active Way, Benton, AR 72019 Phone: 501-315-0984 | |
Marla Jo Murphy, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2113 Watts Rd, Benton, AR 72015 Phone: 501-778-4960 Fax: 501-778-4968 | |
Mrs. Carrie Anne Johnson, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1102 W South St, Suite 10, Benton, AR 72015 Phone: 559-202-9637 |