Kristina R Johnson, P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

7640 Issued in MN

Practice address

3428 36TH Ave S
Minneapolis, MN 55406-2704

Phone

(612) 501-7192

NPI assigned

Apr 19, 2009

Last updated

Apr 19, 2009By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1240099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240099200000",
    "number": "1053554113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 36TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062704",
            "telephone_number": "612-501-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 36TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062704",
            "telephone_number": "612-501-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTINA",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-19",
        "last_updated": "2009-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "7640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Jeane Johnson, SLP
• Kelly Lynn Johnson, MA, LMFT
• Kourtney Jean Johnson
• Krista Louise Johnson
• Kristin Ann Johnson, MD
• Laura Johnson, MSW, LICSW
• Laura Johnson, CNP
• Laura Ann Johnson, CHAPLAIN, MDIV, BCC
• Laura J. Johnson, MSW, LICSW
• Lauren Annette Johnson, PA-C

• Physical Medicine & Rehabilitation Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Physical Medicine & Rehabilitation Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.