Jerilyn Ann Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6285 Issued in MN

Practice address

1284 Corporate Center Dr
Suite 500
Eagan, MN 55121-1253

Phone

(651) 686-0098

Fax

(651) 686-0499

NPI assigned

May 31, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jjohnson42140@excellian.direct.allina.com

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083816383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 43RD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554064051",
            "telephone_number": "612-722-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 CORPORATE CENTER DR",
            "address_2": "SUITE 500",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211253",
            "telephone_number": "651-686-0098",
            "fax_number": "651-686-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JERILYN",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Sarah Johnson
• Garret Donald Johnson, PHARM D
• Jean Elizabeth Johnson, PSYD
• Jennifer Sue Johnson, MA, LPCC
• Jeremiah David Johnson, M.D.
• Joshua Otis Johnson, PHARMD
• Joy Lynn Johnson, NP
• Kirsten Marie Johnson, DDS
• Lindsey Kaye Johnson, LMFT
• Lyndall Johnson, MA LP

• Physical Therapist in Eagan, MN
• Providers in Eagan, MN by specialty
• Physical Therapist in Minnesota

• 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.

Verify at the official NPI Registry.