Kyle Cameron Johnson, DPT - Medicare Physical Therapist in Logan, UT

Kyle Cameron Johnson, DPT is a medicare enrolled "Physical Therapist - Orthopedic" provider in Logan, Utah. His current practice location is 2310 N 400 E Ste B, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 774-8557.

Kyle Cameron Johnson is licensed to practice in Utah (license number 13395834-2401) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043995244.

Contact Information

Kyle Cameron Johnson, DPT
2310 N 400 E Ste B,
Logan, UT 84341-1799
(435) 774-8557
Not Available



Healthcare Provider's Profile

Full NameKyle Cameron Johnson
GenderMale
SpecialityPhysical Therapist - Orthopedic
Location2310 N 400 E Ste B, Logan, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043995244
  • Provider Enumeration Date: 06/16/2023
  • Last Update Date: 06/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0648631994
  • Enrollment ID: I20230802002347

Medical Identifiers

Medical identifiers for Kyle Cameron Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043995244NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic 13395834-2401 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyle Cameron Johnson allows following entities to bill medicare on his behalf.
Provider NameH2 Physical Therapy
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1700450806
PECOS PAC ID: 5991194672
Enrollment ID: O20211118001531

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Cameron Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kyle Cameron Johnson, DPT
314 W 3170 S,
Nibley, UT 84321-6693

Ph: (435) 760-6095
Kyle Cameron Johnson, DPT
2310 N 400 E Ste B,
Logan, UT 84341-1799

Ph: (435) 774-8557

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Physical Therapist in Logan, UT

Shaun P Dahle, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1400 N 500 E, Logan, UT 84341
Phone: 435-716-1000    
Brandon David Greenwood, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1400 N 500 E, Logan, UT 84341
Phone: 435-716-1000    
Madison Spainhower, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 209 W 300 N, Logan, UT 84321
Phone: 435-716-8535    
Back At Work Of Utah Llc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 939 S State Highway 89 Unit 3, Logan, UT 84321
Phone: 435-216-4343    
Sarah C Sievers, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1400 N 500 E, Logan, UT 84341
Phone: 435-755-3360    
Brent Rawlings,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 630 E 1400 N Ste 140, Logan, UT 84341
Phone: 435-213-3850    Fax: 435-213-9576

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