Kimberly Ann Johnson, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5674 Issued in OR

Practice address

625 SW Ramsey
Suite B
Grants Pass, OR 97527

Phone

(541) 476-1919

Fax

(541) 476-1920

NPI assigned

Jun 25, 2008

Last updated

Jan 10, 2011By 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

Other names 1

• Kimberly Ann Steffens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1073775649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SW RAMSEY AVE",
            "address_2": "SUITE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275808",
            "telephone_number": "541-476-1919",
            "fax_number": "541-476-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SW RAMSEY",
            "address_2": "SUITE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97527",
            "telephone_number": "541-476-1919",
            "fax_number": "541-476-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "STEFFENS",
            "middle_name": "ANN",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellen Claire Johnson, LMFT
• Howard Finlayson Johnson
• Ike Johnson
• Jamey L Johnson, CRNA
• Kathleen Anne Johnson, F.N.P.
• Laura Lynn Johnson, FNP
• Laura Michelle Johnson, D.D.S.
• Michael Scott Johnson, R.PH.
• Patricia Johnson
• Paul Elvin Johnson Jr., MD

• Physical Therapist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.