Shawna Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA2773 Issued in AR

Practice address

1919 Charmont Dr
Charleston, AR 72933-8910

Phone

(479) 965-6752

NPI assigned

Nov 26, 2013

Last updated

Nov 26, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Western Arkansas Pediatric Rehab Inc.

  • Pediatric Occupational Therapist
  • Charleston, AR
  • NPI 1215098462
  NPD (past)

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1104256296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729330871",
            "telephone_number": "479-965-6752",
            "fax_number": "479-965-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 CHARMONT DR",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729338910",
            "telephone_number": "479-965-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAWNA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA2773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian E. Hawk, PTA
• Amber Lee Hertlein, PTA
• Hometown Pediatric Therapy Services
• Courtney Houston, PHARMD
• Margie Hyatt, PTA
• Rian Kearney
• Robert Jack Langston, APRN, NP-C
• Le Western Dentistry, PLLC (Charleston Dentistry)
• Leaps and Bounds Therapy Services, PLLC
• Suzanne M Little, MS, CCC-SLP

• Physical Therapy Assistant in Charleston, AR
• Providers in Charleston, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.