Andrea J Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11075 Issued in NC

Practice address

210 E Gray St Ste 807
Louisville, KY 40202-3927

Phone

(502) 587-9350

Fax

(502) 587-9351

NPI assigned

Jul 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians

Practice addresses (Care Compare)

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.

• SN Kentuckiana Rehab, LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1609349018

  Physical Therapist

  Medicare reassignment NPD
• SN Kentuckiana Rehab, LLC

  • Rehabilitation Clinic/Center
  • Clarksville, IN
  • NPI 1295208684
  Medicare reassignment NPD
• SN Kentuckiana Rehab, LLC

  • Rehabilitation Clinic/Center
  • Elizabethtown, KY
  • NPI 1467925859

  Physical Therapist

  NPD
• SN Kentuckiana Rehab, LLC

  • Rehabilitation Clinic/Center
  • New Albany, IN
  • NPI 1366915761

  Physical Therapist

  NPD
• SN Kentuckiana Rehab, LLC

  • Rehabilitation Clinic/Center
  • Jeffersonville, IN
  • NPI 1851864169
  NPD
• Select Employment Services, Inc.

  • Public Health or Welfare Agency
  • Louisville, KY
  • NPI 1689061863
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1053511535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-587-9350",
            "fax_number": "502-587-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E GRAY ST STE 807",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023927",
            "telephone_number": "502-587-9350",
            "fax_number": "502-587-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREA",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11075",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006014",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008248A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE  NUMBER",
            "identifier": "11075",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LICENSE NUMBER",
            "identifier": "006014",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN LICENSE NUMBER",
            "identifier": "05008248A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Johnson, PHARMD
• Abigail Johnson, OTD, OTR/L
• Addison Brent Johnson
• Alice Hoang Johnson, MD
• Alicia C Johnson, CSA
• Andrea Santos Johnson
• Angela Diane Johnson, MSSW,CSW
• Angela Jo Johnson, APRN
• Audrey Payton Johnson, APRN
• Aune'Trae Johnson

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.