| Elyse Johnson, SLP | |
|
455 Thelma Dr, Casper, WY 82609-2324 | |
| (307) 472-3327 | |
| Not Available |
| Full Name | Elyse Johnson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 455 Thelma Dr, Casper, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790848802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2853 (Wisconsin) | Secondary |
| 235Z00000X | Speech-language Pathologist | SP-732 (Wyoming) | Primary |
| Provider Name | Optimal Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1962894451 PECOS PAC ID: 4880905694 Enrollment ID: O20150622000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Elyse Johnson, SLP 4120 S Poplar St, Casper, WY 82601-6104 Ph: (307) 333-2873 | Elyse Johnson, SLP 455 Thelma Dr, Casper, WY 82609-2324 Ph: (307) 472-3327 |
Katie Goode, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 S Fenway St Ste 202, Casper, WY 82601 Phone: 307-337-2400 | |
Acm Therapy Group Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 915 S Mckinley St, Casper, WY 82601 Phone: 307-267-7224 Fax: 307-265-2082 | |
Shannon Freeburn, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 851 Werner Ct Ste 100, Casper, WY 82601 Phone: 307-575-2405 | |
Richelle Lyn Dietz, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2020 E 12th St, Casper, WY 82601 Phone: 307-235-5097 | |
Brittany Mayo, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2020 E 12th St, Casper, WY 82601 Phone: 307-235-5097 | |
Rebecca Johnson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4305 S Poplar St, Casper, WY 82601 Phone: 307-995-4819 | |
Kimberlee Jo Harmon, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 915 S Mckinley St, Casper, WY 82601 Phone: 307-265-2182 |