Jude Johnson (NPI# 1740541036, PAC ID# 5991960940) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1740541036 |
PAC ID by PECOS | 5991960940 |
Professional Enrollment ID | I20150310000535 |
Full Name | Jude Johnson |
Organization Legal Name | THREE RIVERS PHYSICAL THERAPY INC |
Address |
3832 E Main St Farmington NM 87402-8749 |
Phone Number | 5052584003 |
Gender | M |
Graduation Year | 2012 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 1153543632 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
430083 | PHS INDIAN HOSPITAL AT EAGLE BUTTE |
Address | Phone | Organization |
---|---|---|
3832 E Main St, Farmington, NM 87402-8749 | 5052584003 | THREE RIVERS PHYSICAL THERAPY INC |
3832 E Main St, Suite E, Farmington, NM 87402-8749 | 5052584003 | THREE RIVERS PHYSICAL THERAPY INC |
Organization Legal Name | THREE RIVERS PHYSICAL THERAPY INC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wesley D Hyde | Physical Therapy | Three Rivers Physical Therapy Inc | 3701 Messina Dr, Suite 108, Farmington, NM 87402-4779 |
Lacy D Rosburg | Physical Therapy | Three Rivers Physical Therapy Inc | 3701 Messina Dr, Suite 108, Farmington, NM 87402-4779 |
Scott V Adamson | Physical Therapy | Three Rivers Physical Therapy Inc | 3701 Messina Dr, Suite 108, Farmington, NM 87402-4779 |
Street Address |
3832 E MAIN ST |
City | FARMINGTON |
State | NM |
Zip | 87402-8749 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert Taylor Bentley | Chiropractic | 2901 E 20th St, 105 Robert Bentley Dc, Farmington, NM 87402-4411 | |
Mary Catherine Curry | Dermatology | Epiphany Dermatology of New Mexico, LLC | 5512 E Main St, Suite A, Farmington, NM 87402-4421 |
Ryan R Rowse | Chiropractic | La Mesa Chiropractic and Rehabilitation Center Inc. | 2904 N Hutton Ave, Farmington, NM 87402-4564 |
Jeremy S Rowse | Chiropractic | La Mesa Chiropractic and Rehabilitation Center Inc. | 2904 N Hutton Ave, Farmington, NM 87402-4564 |
Wesley D Hyde | Physical Therapy | Three Rivers Physical Therapy Inc | 3701 Messina Dr, Suite 108, Farmington, NM 87402-4779 |
Lacy D Rosburg | Physical Therapy | Three Rivers Physical Therapy Inc | 3701 Messina Dr, Suite 108, Farmington, NM 87402-4779 |
Scott V Adamson | Physical Therapy | Three Rivers Physical Therapy Inc | 3701 Messina Dr, Suite 108, Farmington, NM 87402-4779 |
Peter E Razma | Pulmonary Disease | 6600 E Main St C, Farmington, NM 87402-5124 | |
Ezekiel Brimhall | Chiropractic | 6610 E Main St, Farmington, NM 87402-5124 | |
Jedediah Beal Lister | Optometry | Skyview Eyecare Inc | 3450 E Main, Farmington, NM 87402-5327 |
Find all physicians in zip 87402 |
City | FARMINGTON |
Zip Code | 87402 |
Specialty | PHYSICAL THERAPY |
City + Specialty | FARMINGTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jude Johnson.
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.