Active NPI
Elizabeth M Johnson, PT
- Physical Therapist
- Merion Station, PA
National Provider Identifier
1144473653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007152L
- Practice address
- 514 Lafayette Rd
Merion Station, PA 19066-1010 - Phone
- (610) 733-2055
- NPI assigned
- Oct 28, 2008
- 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 | PT007152L | PA | Primary |
Addresses
Primary practice location
514 Lafayette Rd
Merion Station, PA 19066-1010
Mailing address
514 Lafayette Rd
Merion Station, PA 19066-1010
Phone (610) 733-2055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015438970003 | Medicaid | PA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007152L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1144473653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 LAFAYETTE RD",
"city": "MERION STATION",
"state": "PA",
"postal_code": "190661010",
"telephone_number": "610-733-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 LAFAYETTE RD",
"city": "MERION STATION",
"state": "PA",
"postal_code": "190661010",
"telephone_number": "610-733-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ELIZABETH",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007152L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015438970003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merion Station, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.