Judith A Johnson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8094 Issued in CA

Practice address

299 W Foothill Blvd
Ste 200
Upland, CA 91786-3804

Phone

(909) 985-2337

Fax

(909) 985-4694

NPI assigned

Feb 20, 2007

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 CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Dynamic Performance Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Upland, CA
  • NPI 1841713625

  Physical Therapist

  Medicare reassignment NPD
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Ridgecrest, CA
  • NPI 1386228302

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1023152154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 W FOOTHILL BLVD",
            "address_2": "STE 200",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863804",
            "telephone_number": "909-985-2337",
            "fax_number": "909-985-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 W FOOTHILL BLVD",
            "address_2": "STE 200",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863804",
            "telephone_number": "909-985-2337",
            "fax_number": "909-985-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUDITH",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "8094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dane George Johnson, DPT
• David M Johnson
• Deantwann Johnson
• Douglas William Johnson, DDS
• Franklin Martin Johnson Jr., D.O.
• Rachel R Johnson, D.D.S
• Renee Rose Johnson, MSN, RN, FNP
• Robert Johnson
• Samantha Johnson
• Stephanie Johnson, PSYD

• Physical Therapist in Upland, CA
• Providers in Upland, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.