| Zachary Johnson, | |
|
24569 Route 6 Ste C, Towanda, PA 18848-8254 | |
| (570) 265-7688 | |
| Not Available |
| Full Name | Zachary Johnson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 24569 Route 6 Ste C, Towanda, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891504437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT033030 (Pennsylvania) | Primary |
| Provider Name | Pivot Physical Therapy Of Pennsylvania Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881132488 PECOS PAC ID: 4981971843 Enrollment ID: O20170515000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary Johnson, 12 Hawk Ln Apt 9, Ulster, PA 18850-8104 Ph: (570) 637-6935 | Zachary Johnson, 24569 Route 6 Ste C, Towanda, PA 18848-8254 Ph: (570) 265-7688 |
Procare Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 140c, Route 6, Towanda, PA 18848 Phone: 570-265-7688 Fax: 570-265-7422 | |
Megan Christine Mcclary, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24569 Route 6, Suite C, Towanda, PA 18848 Phone: 570-265-1111 Fax: 570-265-7134 | |
Kimberly Mosher, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 140c, Towanda, PA 18848 Phone: 570-265-7688 Fax: 570-265-7422 | |
Matthew Dewing, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 140c, Towanda, PA 18848 Phone: 570-265-7688 Fax: 570-265-7422 | |
Rebecca Marie Kempa, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24569 Route 6, Suite C, Towanda, PA 18848 Phone: 570-265-1111 Fax: 570-265-7134 | |
Michelle Tyler Williams, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24569 Route 6 Ste C, Towanda, PA 18848 Phone: 570-265-7688 Fax: 570-265-7422 | |
John Andrew Slater, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 91 Hospital Dr, Towanda, PA 18848 Phone: 570-265-2191 |