Shani T Johnson, PT,DSCPT,CMPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4459-024 Issued in WI

Practice address

224 N Bridge St
Suite B
Chippewa Falls, WI 54729-2405

Phone

(715) 723-4451

Fax

(715) 723-5712

NPI assigned

Apr 25, 2006

Last updated

Nov 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cornerstone Physical Therapy

  • Physical Therapy Clinic/Center
  • Chippewa Falls, WI
  • NPI 1962468827

  Physical Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1093771479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N BRIDGE ST",
            "address_2": "SUITE B",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292405",
            "telephone_number": "715-723-4451",
            "fax_number": "715-723-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N BRIDGE ST",
            "address_2": "SUITE B",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292405",
            "telephone_number": "715-723-4451",
            "fax_number": "715-723-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHANI",
        "middle_name": "T",
        "credential": "PT,DSCPT,CMPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4459-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40420100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ann Jensen, LPN
• Beth A Jewell, PA-C
• Kathryn L Johnson, MA, LPC
• Michael Todd Johnson, CMT
• Robert S Johnson, PT
• Jennifer Joseph, PAC
• Dane Jusula, LCSW
• Drew M Kaminski, D.C
• Kaylen Kammers
• Vallie M Kaprelian, MD

• Physical Therapist in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.