Eva Johannesen, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00522800 Issued in NJ

Practice address

61 West Jimmie Leeds Road
Pomona, NJ 08240

Phone

(609) 748-5400

NPI assigned

May 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Osprey Rehabilitation, LLC.

  • Physical Therapy Clinic/Center
  • Hammonton, NJ
  • NPI 1659085678

  Physical Therapist

  Medicare reassignment NPD
• Osprey Rehabilitation, LLC.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Linwood, NJ
  • NPI 1255064044
  NPD

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013139161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 JOHN ADAMS CT",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083302845",
            "telephone_number": "609-909-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 WEST JIMMIE LEEDS ROAD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "08240",
            "telephone_number": "609-748-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNESEN",
        "first_name": "EVA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00522800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Joseph Incandela, M.D.
• Anthony Frederick Ivy, PHYSICAL THERAPIST
• Jacqueline a. Robinson, P.C.
• Evan Jaep, CRNA
• Jacqueline Jankowsky, CRNA
• Christina M Johnson, PA
• Charles Kaczmarski, PA-C
• Jacqueline A Kelsch-Robinson, DC
• John Matthew Kern, DO
• Kaitlyn Knurek, PHARM.D.

• Physical Therapist in Pomona, NJ
• Providers in Pomona, NJ by specialty
• Physical Therapist in New Jersey

• 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.