Jennifer Jo Kostik Johnson (NPI# 1134163538, PAC ID# 3072559707) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1134163538 |
| PAC ID by PECOS | 3072559707 |
| Professional Enrollment ID | I20050705000474 |
| Full Name | Jennifer Jo Kostik Johnson |
| Organization Legal Name | KEYSTONE REHABILITATION SYSTEMS OF MCMURRAY |
| Address |
250 University Ave Rm 103 California PA 15419-1341 |
| Phone Number | 7249385806 |
| Gender | F |
| Credential | PT |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0941113104 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 250 University Ave, Rm 103, California, PA 15419-1341 | 7249385806 | KEYSTONE REHABILITATION SYSTEMS OF MCMURRAY |
| 3846 Route 31, Suite 206, Donegal, PA 15628-4033 | 7242597900 | KEYSTONE REHABILITATION SYSTEMS INC |
| Organization Legal Name | KEYSTONE REHABILITATION SYSTEMS OF MCMURRAY |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Hegedus | Physical Therapy | Keystone Rehabilitation Systems of Mcmurray | 250 University Ave, Rm 103, California, PA 15419-1341 |
| Lauren Decker | Physical Therapy | Keystone Rehabilitation Systems of Mcmurray | 250 University Ave, Rm 103, California, PA 15419-1341 |
| Street Address |
250 UNIVERSITY AVE RM 103 |
| City | CALIFORNIA |
| State | PA |
| Zip | 15419-1341 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Hegedus | Physical Therapy | Keystone Rehabilitation Systems of Mcmurray | 250 University Ave, Rm 103, California, PA 15419-1341 |
| Lauren Decker | Physical Therapy | Keystone Rehabilitation Systems of Mcmurray | 250 University Ave, Rm 103, California, PA 15419-1341 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adriane F Haragan | Obstetrics/gynecology | Washington Physician Services | 415 Thrid St, California, PA 15419-1102 |
| Erica M Detrick | Clinical Social Worker | Washington Physician Services | 415 Thrid St, Whs Family Medicine California, California, PA 15419-1102 |
| Raymond F Nino | Family Practice | Nino Medical Associates P.c | 87 3rd St, California, PA 15419-1127 |
| City | CALIFORNIA |
| Zip Code | 15419 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CALIFORNIA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jennifer Jo Kostik 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.