Active NPI
Caleb O Johnson, DPT
- Physical Therapist
- Fort Johnson, LA
National Provider Identifier
1073947388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070--020140
- Practice address
- 1585 3Rd St
Fort Johnson, LA 71459-5102 - Phone
- (337) 531-3119
- NPI assigned
- Aug 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070--020140 | IL | Primary |
Addresses
Primary practice location
1585 3Rd St
Fort Johnson, LA 71459-5102
Mailing address
1585 3Rd St
Fort Johnson, LA 71459-5102
Phone (337) 531-3119
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070--020140 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1073947388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 3RD ST",
"city": "FORT JOHNSON",
"state": "LA",
"postal_code": "714595102",
"telephone_number": "337-531-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 3RD ST",
"city": "FORT JOHNSON",
"state": "LA",
"postal_code": "714595102",
"telephone_number": "337-531-3119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CALEB",
"middle_name": "O",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-23",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070--020140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Johnson, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.