Daphne S Johnson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

426-19 Issued in WI

Practice address

E401 23Rd St
Brodhead, WI 53520-2203

Phone

(608) 897-3031

NPI assigned

Nov 28, 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": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1144597659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 15TH ST",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535201734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E401 23RD ST",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535202203",
            "telephone_number": "608-897-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAPHNE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "426-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Leigh Engen, APNP-FNP
• Everside Health-Sti Brodhead
• Anne Hamel, DPT
• Carmen Huenerberg
• Iris Health Clinic
• Andrew J Kebus, DDS
• Kathleen Kornaus, MS OTR/L
• LJ III Health Management, Inc
• Joseph Mac Alpine, DC
• Travis Malott, D.C.

• Physical Therapy Assistant in Brodhead, WI
• Providers in Brodhead, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.