| Mr Kyle Johnson, DPT | |
|
220 Sunset Rd Ste 5a, Willingboro, NJ 08046-1126 | |
| (609) 835-4801 | |
| (609) 835-4950 |
| Full Name | Mr Kyle Johnson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 220 Sunset Rd Ste 5a, Willingboro, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265838924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT024087 (Pennsylvania) | Primary |
| Provider Name | Fox Rehabilitation Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1609814755 PECOS PAC ID: 1355347410 Enrollment ID: O20090811000339 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kyle Johnson, DPT 220 Sunset Rd Ste 5a, Willingboro, NJ 08046-1126 Ph: (609) 835-4801 | Mr Kyle Johnson, DPT 220 Sunset Rd Ste 5a, Willingboro, NJ 08046-1126 Ph: (609) 835-4801 |
Jennifer Stewart, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Campbell Dr Ste 107, Willingboro, NJ 08046 Phone: 609-614-3997 Fax: 609-531-2385 | |
Dr. Alexander Formolow, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 220 Sunset Rd, Suite 5a And B, Willingboro, NJ 08046 Phone: 609-835-4801 | |
Mr. Lorenzo Zackery, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 43 Paddock Ln, Willingboro, NJ 08046 Phone: 609-284-1884 | |
Pamela Mechling, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Campbell Dr Ste 107, Willingboro, NJ 08046 Phone: 609-614-3997 Fax: 609-531-2385 | |
Beres Jeff Marrast, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Belmont Ln, Willingboro, NJ 08046 Phone: 347-469-1565 | |
Nicole M Hoffman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 Campbell Dr Ste 107, Willingboro, NJ 08046 Phone: 609-614-3997 Fax: 609-531-2385 |