Jeanna Johnson, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Smiths Grove, KY
NPI 1033764972 · NPPES record last updated Aug 7, 2019
Key facts
- NPI
- 1033764972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 000925 (KY)
- Practice address
- 75 River Birch Loop
Smiths Grove, KY 42171-7310 - Phone
- (270) 535-1414
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000925 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McReynolds Physical Therapy, PLLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 000925 | KY | Yes |
Addresses
Primary practice location
75 River Birch Loop
Smiths Grove, KY 42171-7310
Mailing address
275 New Towne Rd Apt 104
Bowling Green, KY 42103-7997
Phone (252) 903-6375
Other providers in Smiths Grove, KY
- Jessica Hampton
- Morgan Brittney Hodowanic
- Paul Isenberg
- Jennifer Cartwright Developmental Consulting, LLC
- Erin Jenson
- Samantha Gail Kiernan
- Lincare Inc.
- Courtney Nicole Livingston
- Penny Ann Medicinebear
- Penny Medicinebear
All providers in Smiths Grove, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.