Courtney Nicole Johnson, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010319 Issued in GA

Practice address

9050 Peridot Pkwy
Stockbridge, GA 30281-9417

Phone

(770) 474-0540

Fax

(770) 507-0506

NPI assigned

Jul 31, 2011

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

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312070400000",
    "number": "1144508763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PERIDOT PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819417",
            "telephone_number": "770-474-0540",
            "fax_number": "770-507-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PERIDOT PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819417",
            "telephone_number": "770-474-0540",
            "fax_number": "770-507-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COURTNEY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-31",
        "last_updated": "2011-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamika Johnnicans, NURSE PRACTITIONER
• C J Johnson, PSYD
• Candace J Johnson, M.D.
• Candice Johnson
• Charla V Johnson, PA-C
• Denetra Johnson
• Jamia Joy Johnson
• Jasmine Johnson, DPT
• Jessica Charles Johnson, BCBA
• Kennedy Johnson

• Physical Therapist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; 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.