Mary Susan Johnson in Brookfield - Physical Therapist
Mary Susan Johnson - NPI 1861589723
Mary Susan Johnson is a Physical Therapist in Brookfield, Wisconsin. Mary Susan Johnson practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mary Susan Johnson is 1861589723. The last update date is 2015-12-05.
Mary Susan Johnson's current location address is 18000 W Bluemound Rd Ste P, Brookfield, Wisconsin. You can contact this provider via phone number 2628790010 and fax number 2628799781. The mailing address for Mary Susan Johnson is 18000 W Bluemound Rd Ste P, Brookfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Susan Johnson |
|---|---|
| Address | 18000 W Bluemound Rd Ste P, Brookfield, Wisconsin |
| Phone Number | 2628790010 |
| Fax Number | 2628799781 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1861589723 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2015-12-05 |
Provider Mailing Address Detail
| Address | 18000 W Bluemound Rd Ste P |
|---|---|
| City | Brookfield |
| State | Wisconsin (WI) |
| Post Code | 530452931 |
| Phone Number | 2628790010 |
| Fax Number | 2628799781 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 3796 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2002030008 | WI | ANTHEM BCBS PROVIDER NUMBER | |
| 3796-024 | WI | STATE OF WI PHYSICAL THERAPY L | |
| 83388002 | WI | PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Susan Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Susan Johnson has been assigned the NPI (National Provider Identifier) 1861589723. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Mary Susan Johnson is geographically located?
The Mary Susan Johnson is physically situated at the following location: 18000 W Bluemound Rd Ste P, Brookfield, WI, 530452931.
What is Mary Susan Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mary Susan Johnson is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date did the Mary Susan Johnson receive the assignment of its 1861589723 from the Centers for Medicare & Medicaid Services?
The Mary Susan Johnson was issued its 1861589723 by the Centers for Medicare & Medicaid Services on 2006-10-10.
As of what date were the details related to Mary Susan Johnson most recently updated or revised?
The information pertaining to Mary Susan Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2015-12-05.
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