MEDICARE: JOHNSON CITY PHYSICAL OCCUPATIONAL SPEECH OUTPATIENT THERAPY, PLLC

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	672988	TN

General Provider Information

NPI Number	:	1992073738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNSON CITY PHYSICAL OCCUPATIONAL SPEECH OUTPATIENT THERAPY, PLLC

Provider Business Mailing Address
First Line	:	234 E MAIN ST
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-5708
Country	:	US
Telephone Number	:	904-509-7100
Fax Number	:

Provider Business Practice Location Address
First Line	:	234 E MAIN ST
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-5708
Country	:	US
Telephone Number	:	904-509-7100
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LANCE A PATE
Credential	:	M.A. CCC-SLP
Telephone Number	:	904-509-7100

Provider Enumeration Date	:	12/07/2011
Last Update Date	:	12/10/2011

Similar Medicare Providers

1518952423 — KATHLEEN RAMSEY MCGOWEN PH.D.
Practice Location Address:

222 E MAIN ST
JOHNSON CITY, TN
37604-5708

Practice Phone: 423-439-8000
Practice Fax: 423-439-2200

1184660482 — DR. DANIEL BROOKS DRINNEN M.D.
Practice Location Address:

300 E MAIN ST STE 301
JOHNSON CITY, TN
37601-5708

Practice Phone: 423-979-0000
Practice Fax: 423-979-6333

1396359980 — OLIVIA REYES
Practice Location Address:

355 GREENLEAF ST STE E
PARK CITY, IL
60085-5708

Practice Phone: 847-249-5700
Practice Fax:

1023091527 — DR. FRANKIE ANNE SMALL ED.D. ED.S. MSW LCSW
Practice Location Address:

137 S PEBBLE BEACH BLVD STE 202A
SUN CITY CENTER, FL
33573-5708

Practice Phone: 850-232-2148
Practice Fax: 813-330-3339

1306881032 — MR. OBIH CHRIS OSONDU BS
Practice Location Address:

5708 ROCKPORT LN
HALTOM CITY, TX
76137-2123

Practice Phone: 817-673-1030
Practice Fax: 817-268-2772

1144259904 — TANGLEWOOD MEDICAL SUPPLIES, INC.
Practice Location Address:

5940 LOWER BIRDVILLE RD UNIT B3
HALTOM CITY, TX
76117-5708

Practice Phone: 817-244-1105
Practice Fax: 254-968-6167

Directions to “JOHNSON CITY PHYSICAL OCCUPATIONAL SPEECH OUTPATIENT THERAPY, PLLC ” 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 © 2007-2025 (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.