Individual provider Active NPI

Sabrina Kimberly-Howell Johnson, PTA

  • Physical Therapy Assistant
  • Maineville, OH
National Provider Identifier
1053597625
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA05408 Issued in OH
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

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PTA05408OHMDPhysical Therapy Assistant
05408OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.