Active NPI
Sabrina Kimberly-Howell Johnson, PTA
- Physical Therapy Assistant
- Maineville, OH
National Provider Identifier
1053597625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA05408
- Practice address
- 3187 Western Row Rd
Suite 102
Maineville, OH 45039-8045 - Phone
- (513) 459-8599
- Fax
- (513) 459-8746
- NPI assigned
- Jan 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 05408 | OH | |
| Physical Therapy Assistant | 225200000X | PTA05408 | OH | Primary |
Addresses
Primary practice location
3187 Western Row Rd
Suite 102
Maineville, OH 45039-8045
Mailing address
3187 Western Row Rd
Suite 102
Maineville, OH 45039-8045
Phone (513) 459-8599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA05408 | OH | MD | Physical Therapy Assistant |
| 05408 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT, Inc. | Past | Accepting new patients | |
| Novacare Rehabilitation of Ohio Inc | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Beechwood, OH
- NPI 1740447895
-
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1053597625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3187 WESTERN ROW RD",
"address_2": "SUITE 102",
"city": "MAINEVILLE",
"state": "OH",
"postal_code": "450398045",
"telephone_number": "513-459-8599",
"fax_number": "513-459-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3187 WESTERN ROW RD",
"address_2": "SUITE 102",
"city": "MAINEVILLE",
"state": "OH",
"postal_code": "450398045",
"telephone_number": "513-459-8599",
"fax_number": "513-459-8746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SABRINA",
"middle_name": "KIMBERLY-HOWELL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-14",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "05408",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA05408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maineville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.