Individual ProviderZachary JohnsonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address13245 Reese Blvd W Ste 100, Huntersville, NC 28078(704) 316-5096PECOS EnrollmentBased on the most recent information from CMS, provider Zachary Johnson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:51 AM.Profile DetailsProvider ID1265805980Provider TypeIndividualFull NameJohnson, ZacharyCredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date11/3/2015Last Updated6/6/2018Contact InformationPractice LocationPractice Address13245 Reese Blvd W Ste 100, Huntersville, NC 28078Phone(704) 316-5096FaxUnlisted FaxMailing LocationMailing AddressPO Box 60447, Charlotte, NC 28260-0447PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense15956North CarolinaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense034037New York