Emily Johnston, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5482 Issued in OR

Practice address

370 E Hersey St
Ashland, OR 97520-2361

Phone

(541) 481-6360

Fax

(541) 482-6801

NPI assigned

Aug 3, 2005

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

Other names 1

• Emily Bevlaqua Former name

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 and National Provider Directory roles.

• Jackson County Physical Therapy LLP

  • Physical Therapist
  • Medford, OR
  • NPI 1013112903
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1114928850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E HERSEY ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202361",
            "telephone_number": "541-482-6360",
            "fax_number": "541-482-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E HERSEY ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202361",
            "telephone_number": "541-481-6360",
            "fax_number": "541-482-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "EMILY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BEVLAQUA",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Theo Johnson, D.P.M.
• Kelly Theresa Johnson
• Kristine Johnson, ATC
• Monica Johnson, L.M.T.
• Venessa E Johnson, LMT
• Brendan Michael Jones, R.N.
• David Scott Jones, MD
• Jennifer M Jones, L.M.T.
• Richard Joseph Jones, PT
• Brittany Ann Joseph

• Physical Therapist in Ashland, OR
• Providers in Ashland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.