Michael Ryan Johnson
BOOST SPORTS PERFORMANCE LLC


Address: 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712
Phone: 8167950434

Michael Ryan Johnson (NPI# 1477628535, PAC ID# 6406018613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1477628535
PAC ID by PECOS 6406018613
Professional Enrollment ID I20120504000475
Full Name Michael Ryan Johnson
Organization Legal Name BOOST SPORTS PERFORMANCE LLC
Address 3801 Selsa Rd
Suite 7
Independence
MO 64057-1712
Phone Number 8167950434
Gender M
Graduation Year 2000
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 8921171604
Number of Group Practice Members 16
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3801 Selsa Rd, Suite 7, Independence, MO 64057-1712 8167950434 BOOST SPORTS PERFORMANCE LLC
1254 Se Century Dr, Lees Summit, MO 64081-3286 8165241442 BOOST SPORTS PERFORMANCE LLC
16052 Foster St, Overland Park, KS 66085-8876 9138978960 BSP KANSAS LLC

Organization Information

Organization Legal Name BOOST SPORTS PERFORMANCE LLC
Physicians 17

Physicians with the same organization

Name Specialty Organization Address
Hana Petersen Physical Therapy Boost Sports Performance LLC 17011 Bel Ray Blvd Belton Raymore, Belton, MO 64012-5371
Edward Pilgrim Physical Therapy Boost Sports Performance LLC 1254 Se Century Dr, Lees Summit, MO 64081-3286
Samantha Lee Linville Physical Therapy Boost Sports Performance LLC 1460 Nw Olympic Dr, Suite J, Grain Valley, MO 64029-7865
William Patrick Streck Physical Therapy Boost Sports Performance LLC 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712
Patnakon Kevin Sonthana Physical Therapy Boost Sports Performance LLC 2105 Kara Ct, Suite 1 A, Liberty, MO 64068-1395
Zachary T Koelling Physical Therapy Boost Sports Performance LLC 2105 Kara Ct, Suite 1 A, Liberty, MO 64068-1395
Thomas Hargrave Physical Therapy Boost Sports Performance LLC 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712
Aaron D Horschig Physical Therapy Boost Sports Performance LLC 2105 Kara Ct, Suite 1 A, Liberty, MO 64068-1395
Mary Suellentrop Physical Therapy Boost Sports Performance LLC 17011 Bel Ray Blvd Belton Raymore, Belton, MO 64012-5371
Zachary Lee Hershberger Physical Therapy Boost Sports Performance LLC 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712

Office Location

Street Address 3801 SELSA RD
SUITE 7
City INDEPENDENCE
State MO
Zip 64057-1712

Physicians in the same location

Name Specialty Organization Address
William Patrick Streck Physical Therapy Boost Sports Performance LLC 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712
Thomas Hargrave Physical Therapy Boost Sports Performance LLC 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712
Zachary Lee Hershberger Physical Therapy Boost Sports Performance LLC 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712
Diana Anderson Physical Therapy Boost Sports Performance LLC 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712
Dylan Hoz-kurland Physical Therapy Boost Sports Performance LLC 3801 Selsa Rd, Suite 7, Independence, MO 64057-1712

Physicians in the same zip code

Name Specialty Organization Address
James W Lindsey Chiropractic 2333s 291 Hwy, Independence, MO 64057
Christopher Wise Orthopedic Surgery Orthopedic Health of Kansas City PC 19550 W 39th St, Suite 410, Independence, MO 64057-0001
Andre M Jakoi Orthopedic Surgery Orthopedic Health of Kansas City PC 19550 W 39th St, Suite 410, Independence, MO 64057-0001
Courtney Adams Physician Assistant Orthopedic Health of Kansas City PC 19550 W 39th St, Suite 410, Independence, MO 64057-0001
Jeffrey A Krempec Orthopedic Surgery Orthopedic Health of Kansas City PC 19550 W 39th St, Suite 410, Independence, MO 64057-0001
Nathan J Kiewiet Orthopedic Surgery Orthopedic Health of Kansas City PC 19550 W 39th St, Suite 410, Independence, MO 64057-0001
Janese B Surber Nurse Practitioner Orthopedic Health of Kansas City PC 19550 W 39th St, Suite 410, Independence, MO 64057-0001
Nikki A Vogel Physician Assistant Orthopedic Health of Kansas City PC 19550 W 39th St, Suite 410, Independence, MO 64057-0001
Zachary V Roberts Orthopedic Surgery Orthopedic Health of Kansas City PC 19550 W 39th St, Suite 410, Independence, MO 64057-0001
Alexa Kyl Moberly Physician Assistant Orthopedic Health of Kansas City PC 19550 W 39th St, Suite 410, Independence, MO 64057-0001
Find all physicians in zip 64057

Competitor

Search similar physicians

City INDEPENDENCE
Zip Code 64057
Specialty PHYSICAL THERAPY
City + Specialty INDEPENDENCE + PHYSICAL THERAPY

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Dataset Information

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.

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