Steven W Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9694-024 Issued in WI

Practice address

106 S Holmen Dr
Suite 2
Holmen, WI 54636-9467

Phone

(608) 526-9888

Fax

(608) 526-9965

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roberts & Associates Physical Therapy SC

  • Physical Therapist
  • Wisconsin Rapids, WI
  • NPI 1346342839
  Medicare reassignment NPD
• Roberts & Associates Physical Therapy SC

  • Physical Therapy Clinic/Center
  • Wisconsin Rapids, WI
  • NPI 1538300306
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003961137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E7596 GREENWING LN",
            "city": "FREMONT",
            "state": "WI",
            "postal_code": "549408854",
            "telephone_number": "920-446-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S HOLMEN DR",
            "address_2": "SUITE 2",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369467",
            "telephone_number": "608-526-9888",
            "fax_number": "608-526-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEVEN",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9694-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "9694-024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Jo Hueners, OTR
• Amanda Lee Eckhardt Hyland, D.D.S
• Katherine Marie Jameson
• Beau Q Johnson, PT
• Julia K Johnson, M.S.,CCC-SLP
• Jones Family Chiropractic, LLC
• Sheridan Kaatz
• Olyvia Rae Kenworthy
• Karl J Kerr, LMT
• Zoe Kimball

• All providers in Holmen, WI
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.