Mandy Johnson
Mandy Johnson is a Physical Therapist in Private Practice in Lincoln, North Dakota. Qualified in 2017, 9 years ago. Practices with Advanced Physical Therapy and Fitness, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Idaho and North Dakota.
- Years since qualifying
- 9
- Licensed in
- ID, ND
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
2730 Paintball WayLincoln, ND 58504-2500
Phone: (701) 955-2102
Fax: (701) 955-5715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 2219 (ND) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 5265 (ID) |
Record details
| NPI number | 1629581624 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 13, 2017 |
| Last updated in NPPES | March 25, 2022 |
| Certification date | March 25, 2022 |
| Mailing address | 1000 Tacoma Ave, Ste 500, Bismarck, ND 58504-7093 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Advanced Physical Therapy And Fitness, Llc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Lincoln
-
Mees Physical Therapy LLC
2730 Paintball Way Ste 4, Lincoln, ND 58504-2503 · (701) 955-2102