Taylor Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.021022 Issued in IL

Practice address

1508 S Church St
Watertown, WI 53094-6404

Phone

(920) 245-3773

NPI assigned

Nov 26, 2014

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waldron's Peak Physical Therapy PCGroup PAC ID 4284524836, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Waldron's Peak Physical Therapy, P.C.

  • Physical Therapist
  • Boulder, CO
  • NPI 1548341951
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164829685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5232 STONEMAN DR",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117644",
            "telephone_number": "312-640-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 S CHURCH ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530946404",
            "telephone_number": "920-245-3773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 W Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606043507",
            "country_code": "US",
            "telephone_number": "312-386-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 W Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606043507",
            "country_code": "US",
            "telephone_number": "312-386-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAYLOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.021022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "13242-24",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle S Jaeger
• Jennifer Jamison
• Theresa Mary Janke, RDH
• Henry Jensen
• Robert Scott Johnson, DDS
• Judith Helen Johnston, MASSAGE THERAPIST
• Madelyn Jones, ATC
• Aileen Jong, DMD
• K.R. Family Manor, LLC
• Amber Kaesermann, REGISTERED NURSE

• Physical Therapist in Watertown, WI
• Providers in Watertown, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.