Olivia Avalon Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH11815 Issued in AL

Practice address

3125 Independence Dr Ste 300B
Birmingham, AL 35209-4168

Phone

(205) 263-2770

Fax

(205) 263-0994

NPI assigned

May 21, 2024

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

Other names 1

• Olivia Avalon Conners Former name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sixfourthree, LLCGroup PAC ID 7719957976, 47 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Sixfourthree, LLC

  • Exclusive Provider Organization
  • Huntsville, AL
  • NPI 1396781209

  AL

  Medicare reassignment Care Compare group NPD
• Ew Motion Therapy Homewood LLC

  • Physical Therapist
  • Birmingham, AL
  • NPI 1316034721

  AL, Physical Therapist

  Medicare reassignment NPD
• Sixfourthree, LLC

  • Exclusive Provider Organization
  • Madison, AL
  • NPI 1174780753
  NPD
• Sixfourthree, LLC

  • Exclusive Provider Organization
  • Madison, AL
  • NPI 1649828328
  NPD

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1023857091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR STE 300B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094168",
            "telephone_number": "205-263-2770",
            "fax_number": "205-263-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 INDEPENDENCE DR STE 300B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094168",
            "telephone_number": "205-263-2770",
            "fax_number": "205-263-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OLIVIA",
        "middle_name": "AVALON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "CONNERS",
            "middle_name": "AVALON",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mikayla Larae Johnson, PA
• Miller Johnson
• Monique S Johnson, LPC
• Natalie Johnson
• Nathan Warren Johnson, D,M.D
• Oneshia Johnson
• Paul Leonard Johnson Jr., M.ED., LMFT
• Philip N Johnson, M.D.
• Phoebe Ryanne Reynolds Johnson, CRNP
• Pinkie Rodella Johnson, CRT

• All providers in Birmingham, AL
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.