DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BILLY JOHNSON PTA

MEDICARE: BILLY JOHNSON PTA
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
1225200000XPhysical Therapy Assistant4739TN

General Provider Information

NPI Number : 1598079964
Entity Type Code : Individual
Provider Name (Legal Business Name) : BILLY JOHNSON PTA
Provider Business Mailing Address
First Line : 140 TECHNOLOGY LN
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-2004
Country : US
Telephone Number : 423-979-0714
Fax Number :
Provider Business Practice Location Address
First Line : 140 TECHNOLOGY LN
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-2004
Country : US
Telephone Number : 423-979-0714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2010
Last Update Date : 07/28/2010

Similar Medicare Providers

1962333401 — CHEROKEE LAKE HOLDINGS LLC
Practice Location Address:
140 TECHNOLOGY LN
JOHNSON CITY, TN
37604-2004
Practice Phone: 423-434-2016
Practice Fax: 423-979-0798
1215049044 — NATIONAL MEDICAL CARE, INC.
Practice Location Address:
100 TECHNOLOGY LN
JOHNSON CITY, TN
37604-2004
Practice Phone: 423-929-7181
Practice Fax: 423-929-2548
1508150301 — JASON CLARK OTR/L
Practice Location Address:
140 TECHNOLOGY LN
JOHNSON CITY, TN
37604-2004
Practice Phone: 423-979-0798
Practice Fax:
1245500768 — JESSICA C GOLZ COTA/L
Practice Location Address:
140 TECHNOLOGY LN
JOHNSON CITY, TN
37604-2004
Practice Phone: 423-434-2016
Practice Fax:
1649604489 — EAST TENNESSEE SKILLED CARE
Practice Location Address:
140 TECHNOLOGY LN
JOHNSON CITY, TN
37604-2004
Practice Phone: 423-773-9555
Practice Fax: 423-913-4123
1841743291 — THE WATERS OF JOHNSON CITY LLC
Practice Location Address:
140 TECHNOLOGY LN
JOHNSON CITY, TN
37604-2004
Practice Phone: 423-434-2016
Practice Fax: 423-979-0798

Directions to “ BILLY JOHNSON PTA” 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.