Organization Active NPI

Johnson Therapy Services

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1083125892
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JOHNSON THERAPY SERVICES
Practice address
10216 Perimeter Pkwy # 9
Charlotte, NC 28216-2461
Phone
(704) 808-0992
NPI assigned
Oct 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Dr. Racine Eugenia Johnson, MOT, DPTNPI 1407022064
Title
Occupational and Physical Therapist
Phone
(704) 808-0992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X
Health Service Clinic/Center 261QH0100X 6889 NC
Physical Therapy Clinic/Center 261QP2000X 11610 NC

Addresses

Primary practice location

10216 Perimeter Pkwy # 9
Charlotte, NC 28216-2461

Mailing address

10216 Perimeter Pkwy # 9
Charlotte, NC 28216-2461
Phone (704) 808-0992

Other practice location 1

105 Cliftwood Dr
Atlanta, GA 30328-4840
Phone (770) 613-1201

National Provider Directory

National Provider Directory

Locations

7910 Mall Ring Rd
Ste 300
Lithonia, GA 30038
Phone (470) 395-3142

105 Cliftwood Dr
Sandy Springs, GA 30328
Phone (770) 613-1201

10216 Perimeter Pkwy
#9
Charlotte, NC 28216
Phone (704) 808-0992

10216 Perimeter Pkwy
Ste 9
Charlotte, NC 28216
Phone (704) 808-0992

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1083125892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10216 PERIMETER PKWY # 9",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162461",
            "telephone_number": "704-808-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10216 PERIMETER PKWY # 9",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162461",
            "telephone_number": "704-808-0992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Cliftwood Dr",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303284840",
            "country_code": "US",
            "telephone_number": "770-613-1201",
            "fax_number": "912-205-3504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHNSON THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RACINE",
        "authorized_official_middle_name": "EUGENIA",
        "authorized_official_title_or_position": "OCCUPATIONAL AND PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "704-808-0992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MOT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "6889",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "11610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.