Jennifer Duxbury Johnson, DRPH, PT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25196 Issued in CA

Practice address

24 N 1St Ave
Arcadia, CA 91006-3205

Phone

(626) 228-4696

NPI assigned

Mar 15, 2016

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bout2Bebetter Physical Therapy Inc.

  • Physical Therapist
  • Arcadia, CA
  • NPI 1003589516
  Medicare reassignment Authorized official
• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603

  CA

  Medicare reassignment NPD
• Robert Marriott Medical Corp

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938
  NPD (past)

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1073974317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N 1ST AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063205",
            "telephone_number": "626-228-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N 1ST AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063205",
            "telephone_number": "626-228-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "DUXBURY",
        "name_prefix": "Dr.",
        "credential": "DRPH, PT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C Lee MD Inc
• John C Lee MD, Inc
• John C. Holloway, M.D., Inc.
• John G. Colias, M.D., Inc.
• John P. Beauclair, M.D. Inc.
• Kyra Johnson
• Linda Johnson
• Marie Johnson, D.O.
• Randy Johnson
• Steven Johnson Jr.

• Physical Therapist in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.