Active NPI
Joann M Johnson, RPT
- Physical Therapist
- Waterbury, CT
National Provider Identifier
1083794697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004478
- Practice address
- 1320 W Main St
BLDG 2
Waterbury, CT 06708 - Phone
- (203) 755-9355
- Fax
- (203) 597-8192
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- 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 | 004478 | CT | Primary |
Addresses
Primary practice location
1320 W Main St
BLDG 2
Waterbury, CT 06708
Mailing address
1320 W Main St
BLDG 2
Waterbury, CT 06708
Phone (203) 755-9355
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024801 | Other | HEALTH NET ORTHONET | |
| 0V1830 | Other | HEALTH NET | |
| 24801 | Other | CIGNA ORTHONET | |
| 004383 | Other | US HEALTH CARE | |
| ANC758 | Other | OXFORD | |
| 004383 | Other | AETNA | |
| 080004478CT06 | Other | CT | ANTHEM BCBS OF CT |
| 6248766001 | Other | CIGNA |
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 |
|---|---|---|---|
| 004478 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083794697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 W MAIN ST",
"address_2": "BLDG 2",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-755-9355",
"fax_number": "203-597-8192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 W MAIN ST",
"address_2": "BLDG 2",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-755-9355",
"fax_number": "203-597-8192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JOANN",
"middle_name": "M",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "004478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET ORTHONET",
"identifier": "0024801",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0V1830",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ORTHONET",
"identifier": "24801",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTH CARE",
"identifier": "004383",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ANC758",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "004383",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF CT",
"identifier": "080004478CT06",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6248766001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.