Jillian Johnson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2803 Issued in NV

Practice address

6490 S McCarran Blvd Ste B10
Reno, NV 89509-6120

Phone

(775) 323-5458

NPI assigned

Sep 16, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1003218561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 S MCCARRAN BLVD STE B10",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096120",
            "telephone_number": "775-323-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 S MCCARRAN BLVD STE B10",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096120",
            "telephone_number": "775-323-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Alan Johnson, OTR/L
• Jennifer Johnson
• Jennifer Lyn Johnson, RN
• Jennifer Nicole Johnson
• Jessica Johnson
• Joe Douglas Johnson, PTA
• Josiah Johnson
• Julie Scheydt Johnson, P.T.
• Justin Johnson, LPN
• Kaitlind Elizabeth Johnson, LCSW

• Physical Therapist in Reno, NV
• Providers in Reno, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.