Individual provider Active NPI

Taryn Johnson, DPT

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1073823308
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206604 Issued in VA
Practice address
8501 Arlington Blvd
Suite 400
Fairfax, VA 22031-4617
Phone
(703) 810-5218
Fax
(703) 810-5406
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305206604 VA Primary

Addresses

Primary practice location

8501 Arlington Blvd
Suite 400
Fairfax, VA 22031-4617

Mailing address

PO Box 71230
Philadelphia, PA 19176-6230
Phone (703) 810-5218

Other names 1

  • Taryn Wroniak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110207000780 DC Practitioner - Physical Therapist in Private Practice 6103006218 Reassigns benefits to 1 organization
I20230111000806 MD Practitioner - Physical Therapist in Private Practice 6103006218 Reassigns benefits to 1 organization
I20241024001968 TX Practitioner - Physical Therapist in Private Practice 6103006218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4110NMMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Dec 29, 2022 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Dec 29, 2022 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Jan 11, 2023 Accepting new patients

Locations

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

161 Jennifer Rd
Ste A
Annapolis, MD 21401

4000 Mitchellville Rd
Ste B116
Bowie, MD 20716
Phone (301) 464-4503

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405

Organizations & group practices 6

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1073823308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71230",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191766230",
            "telephone_number": "703-810-5218",
            "fax_number": "703-810-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 ARLINGTON BLVD",
            "address_2": "SUITE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314617",
            "telephone_number": "703-810-5218",
            "fax_number": "703-810-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TARYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARYN",
            "last_name": "WRONIAK",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.