| Ms Abby Coles-johnson, PT | |
|
1600 E Evergreen St, Cameron, MO 64429 | |
| (816) 632-2101 | |
| Not Available |
| Full Name | Ms Abby Coles-johnson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1600 E Evergreen St, Cameron, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841472313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 6139 (Oregon) | Secondary |
| 225100000X | Physical Therapist | 2004017380 (Missouri) | Primary |
| Provider Name | Empowerme Rehabilitation Missouri Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417479494 PECOS PAC ID: 9234402470 Enrollment ID: O20170908002930 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083208391 PECOS PAC ID: 9830504836 Enrollment ID: O20210308002804 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Abby Coles-johnson, PT 246 Se 84th Ave, Portland, OR 97216-1023 Ph: (573) 673-6734 | Ms Abby Coles-johnson, PT 1600 E Evergreen St, Cameron, MO 64429 Ph: (816) 632-2101 |
Caroline Marsh, PT, DPT, C/NDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Euclid Ave, Cameron, MO 64429 Phone: 816-649-1679 | |
Mrs. Molley Ann Newsome, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Euclid Ave, Cameron, MO 64429 Phone: 816-632-7254 |