Kylee Michaela Johnston

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3143 Issued in OK

Practice address

6400 N Santa Fe Ave Ste B
Oklahoma City, OK 73116-9126

Phone

(405) 840-2903

NPI assigned

Aug 12, 2019

Sex

Female

Sole proprietor

No

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.

• Focus on Function, Inc.

  • Physical Therapist
  • Edmond, OK
  • NPI 1700950367
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2019.

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1013563485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 ASTOR DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730722287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 N SANTA FE AVE STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169126",
            "telephone_number": "405-840-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KYLEE",
        "middle_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Phillip Johnston
• Jason Bradford Johnston
• Jay C. Johnston, M.D.
• Jay Carter Johnston II, O. D.
• Jessica J Johnston, PA
• Michelle Lee Johnston, MSN, ARNP
• Robyn Johnston
• Savanna P Johnston
• Willis Bradley Johnston, D.P.M.
• Tomieka Michelle Johnwson

• All providers in Oklahoma City, OK
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.