Kristi M Johnson, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2000174568 Issued in MO

Practice address

11630 Studt Ave Ste 200
Creve Coeur, MO 63141-7394

Phone

(314) 733-9100

Fax

(314) 733-9101

NPI assigned

May 3, 2006

Last updated

Feb 28, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kristi.johnson.p2@direct.athleticoltd.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Rehabilitation Services, LLC

  • Physical Therapist
  • Troy, MO
  • NPI 1679671119
  NPD (past)
• Rueschhoff Physical Therapy Inc

  dba Heritage Physical Therapy

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1437155314
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1083672521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 STUDT AVE STE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417394",
            "telephone_number": "314-733-9100",
            "fax_number": "314-733-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 STUDT AVE STE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417394",
            "telephone_number": "314-733-9100",
            "fax_number": "314-733-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2000174568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeronica Jenkins
• Claire Elizabeth Jensen, DNP, APRN, FNP-BC
• Sara Kathleen Joachimstaler
• Arielle Johnson-Wynn
• Glen E Johnson, M.D.
• Joint Health LLC
• Joint Health LLC
• Jeffrey Jokerst, DPT
• Rosalind Rochelle Jonson
• Jordan Malone Pmhnp LLC

• Orthopedic Physical Therapist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Orthopedic Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.