Individual provider Active NPI

Janelle M Johnson, PT

  • Orthopedic Physical Therapist
  • Ventura, CA
National Provider Identifier
1033430350
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT36656 Issued in CA
Practice address
3525 Loma Vista Rd
Ste a
Ventura, CA 93003-3101
Phone
(805) 644-6424
Fax
(805) 641-6415
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT36656 CA Primary

Addresses

Primary practice location

3525 Loma Vista Rd
Ste a
Ventura, CA 93003-3101

Mailing address

3525 Loma Vista Rd
Ste a
Ventura, CA 93003-3101
Phone (805) 644-6424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190218000091 FL Practitioner - Physical Therapist in Private Practice 3476745225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Leverage Health IncGroup PAC ID 4688860513, 32 clinicians
Bend Physical Therapy IncGroup PAC ID 1456711340, 10 clinicians

Practice addresses (Care Compare)

2655 E Oakland Park Blvd
Suite 5
Fort Lauderdale, FL 33306-1608
Phone (954) 630-3131

8845 N Military TRL
Suite 300
West Palm Beach, FL 33410-6290
Phone (561) 560-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36656CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leverage Health, Inc. Orthopedic CurrentSince Jul 28, 2018 Accepting new patients
Bend Physical Therapy Inc Orthopedic CurrentSince Mar 6, 2026 Accepting new patients

Locations

2655 E Oakland Park Blvd
Ste 5
Oakland Park, FL 33306
Phone (954) 630-3131

8845 N Military Trl
Ste 300
West Palm Beach, FL 33410
Phone (561) 223-3872

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1033430350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 LOMA VISTA RD",
            "address_2": "STE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033101",
            "telephone_number": "805-644-6424",
            "fax_number": "805-641-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 LOMA VISTA RD",
            "address_2": "STE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033101",
            "telephone_number": "805-644-6424",
            "fax_number": "805-641-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JANELLE",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT36656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.