Active NPI
Kristi Johnson, PT
- Physical Therapist
- Fairhope, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH11300
- Practice address
- 9893 Highway 104
Fairhope, AL 36532 - Phone
- (251) 850-2050
- NPI assigned
- Apr 17, 2008
- Last updated
- Oct 4, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4210 | CO | |
| Physical Therapist | 225100000X | PTH11300 | AL | Primary |
Addresses
Primary practice location
9893 Highway 104
Fairhope, AL 36532
Mailing address
2823 Greystone Commercial Blvd
Hoover, AL 35242-2660
Phone (205) 745-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, AL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9893 Hwy 104
Fairhope, AL 36523-1766
Phone (251) 850-2050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH11300 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy South - Fairhope | Physical Therapist | Current | Accepting new patients |
| Specialized Therapy Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Integrated Physical Therapy of Colorado PC | Physical Therapist | Past | Accepting new patients |
Locations
2200 US Highway 98
Ste 4
Daphne, AL 36526
Phone (251) 298-4236
720 Middle St
Fairhope, AL 36532
Phone (251) 990-9082
9893 State Highway 104
Fairhope, AL 36532
Phone (251) 850-2050
760 Middle St
Fairhope, AL 36532
Phone (251) 850-2050
2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Therapy South Fairhope LLC
- Physical Therapist
- Fairhope, AL
- NPI 1659069425
-
- Physical Therapist
- Daphne, AL
- NPI 1518339001
-
- Physical Therapy Clinic/Center
- Littleton, CO
- NPI 1518193895
-
dba Integral Physical Therapy
- Physical Medicine & Rehabilitation Physician
- Firestone, CO
- NPI 1891151627
-
- Physical Therapist
- Littleton, CO
- NPI 1952595647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1174797377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2823 GREYSTONE COMMERCIAL BLVD",
"city": "HOOVER",
"state": "AL",
"postal_code": "352422660",
"telephone_number": "205-745-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9893 HIGHWAY 104",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "36532",
"telephone_number": "251-850-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KRISTI",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2024-10-04",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "4210",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH11300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.