Eloise Johnston (NPI# 1558825414, PAC ID# 0446590129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1558825414 |
| PAC ID by PECOS | 0446590129 |
| Professional Enrollment ID | I20190315000077 |
| Full Name | Eloise Johnston |
| Organization Legal Name | FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC |
| Address |
1 Pavillion Place Penney Farms FL 32079-0555 |
| Phone Number | 8885312204 |
| Gender | F |
| Graduation Year | 1980 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 2860649654 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 650 Colbert Ln, Palm Coast, FL 32137-4503 | 8885312204 | FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC |
| 1 Pavillion Place, Penney Farms, FL 32079-0555 | 8885312204 | FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC |
| Organization Legal Name | FUNCTIONAL PATHWAYS PREFERRED OF TENNESSEE LLC |
| Physicians | 60 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niaya Mccleave | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Jennifer Flenorl | Physical Therapy | Functional Pathways Preferred of Tennessee LLC | 650 Colbert Ln, Palm Coast, FL 32137-4503 |
| Randall D Barr | Physical Therapy | Functional Pathways Preferred of Tennessee LLC | 4001 Sw 33rd Court, Ocala, FL 34474-6296 |
| Rodney Mendoza | Physical Therapy | Functional Pathways Preferred of Tennessee LLC | 3221 Fruitville Rd, Sarasota, FL 34237-6452 |
| Tracy Mucher | Physical Therapy | Functional Pathways Preferred of Tennessee LLC | 575 Osgood St, North Andover, MA 01845-1975 |
| Andrea Rodhouse | Qualified Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 2250 Jesus Way, Sarasota, FL 34240-9405 |
| Heather M Mack | Physical Therapy | Functional Pathways Preferred of Tennessee LLC | 2830 Carol Rd, York, PA 17402-3852 |
| Kelly M Kinne | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 6235 Hoffman St, North Port, FL 34287-2285 |
| Pamela L Hill | Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 12000 Turnmeyer Sedr, Huntsville, AL 35803-3358 |
| June A Lewandowski | Physical Therapy | Functional Pathways Preferred of Tennessee LLC | 300 E Winchester Ave, Langhorne, PA 19047-2250 |
| Street Address |
1 PAVILLION PLACE |
| City | PENNEY FARMS |
| State | FL |
| Zip | 32079-0555 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas M Tew | Cardiovascular Disease (cardiology) | 2 Pavilion Place, Penney Farms, FL 32079 |
| City | PENNEY FARMS |
| Zip Code | 32079 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | PENNEY FARMS + OCCUPATIONAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.