MEDICARE: JOHNSON PHYSICAL THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1477502680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNSON PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	2614 E MARKET ST
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44483-6204
Country	:	US
Telephone Number	:	330-394-8282
Fax Number	:

Provider Business Practice Location Address
First Line	:	2614 E MARKET ST
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44483-6204
Country	:	US
Telephone Number	:	330-394-8282
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MICHAEL TARVIN
Credential	:
Telephone Number	:	717-975-4503

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	03/21/2008

Similar Medicare Providers

1861494817 — JAMES DAVID BRODELL M.D.
Practice Location Address:

2614 E MARKET ST
WARREN, OH
44483-6204

Practice Phone: 330-394-8181
Practice Fax: 330-393-4849

1629063938 — SKIN PATHOLOGY SERVICES INC
Practice Location Address:

2660 E MARKET ST
WARREN, OH
44483-6204

Practice Phone: 330-393-4003
Practice Fax: 330-393-0074

1992769392 — MR. GERALD EDWARD RISHEL A.T.,C.
Practice Location Address:

2614 E MARKET ST
WARREN, OH
44483-6204

Practice Phone: 330-394-8282
Practice Fax: 330-394-6931

1073622650 — DAWN TELLMAN
Practice Location Address:

2614 E MARKET ST
WARREN, OH
44483-6204

Practice Phone: 330-394-8282
Practice Fax:

1780758003 — KYLE L WAGAMON MD
Practice Location Address:

2660 E MARKET ST
WARREN, OH
44483-6204

Practice Phone: 330-393-4000
Practice Fax: 330-392-5870

1356498877 — SAMANTHA BROWN
Practice Location Address:

2614 E MARKET ST
WARREN, OH
44483-6204

Practice Phone: 330-394-8282
Practice Fax:

Directions to “JOHNSON PHYSICAL THERAPY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.