Katie Johnson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P1 60620079 Issued in WA

Practice address

24007 Edmonds Way
Edmonds, WA 98026-9161

Phone

(425) 224-2476

Fax

(425) 224-2612

NPI assigned

Feb 25, 2016

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

Practice roles

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.

• Lilly Physical Therapy LLC

  • Physical Therapist
  • Edmonds, WA
  • NPI 1659784635
  NPD (past)

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1184084790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24007 EDMONDS WAY",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980269161",
            "telephone_number": "425-224-2476",
            "fax_number": "425-224-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24007 EDMONDS WAY",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980269161",
            "telephone_number": "425-224-2476",
            "fax_number": "425-224-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60620079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bennett M Johnson, MD
• Chantier Johnson
• Clifford John Johnson, DO
• Greg Sinding Johnson, D.O.
• Jenny L Johnson, PTA
• Kirsten Johnson
• Makenzie Lynn Johnson
• Stephen C Johnson, RPH
• Eileen Johnston, MD
• Jonathan Huang DMD Ms PHD and Michiko Huang DDS

• Physical Therapy Assistant in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.