Individual provider Active NPI

Carla Renee Johnson, DPT

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1184925604
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
23462 Issued in MD
Practice address
2327 Forest Dr Ste D
Annapolis, MD 21401-3865
Phone
(443) 782-7243
Fax
(410) 881-6514
NPI assigned
Nov 15, 2010
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 38954 CA
Physical Therapist 225100000X 23462 MD Primary

Addresses

Primary practice location

2327 Forest Dr Ste D
Annapolis, MD 21401-3865

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

1001 Kamokila Blvd
Ste. 114
Kapolei, HI 96707-2014
Phone (808) 674-9595

Other identifiers 1

IdentifierTypeStateIssuer
3304OtherHIPHYSICAL THERAPIST

Other names 1

  • Carla Taylor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191217001631 DC Practitioner - Physical Therapist in Private Practice 2668652157 Reassigns benefits to 3 organizations
I20191217001877 MD Practitioner - Physical Therapist in Private Practice 2668652157 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

2327 Forest Dr
Suite D
Annapolis, MD 21401-3865
Phone (443) 782-7243

3420 Crain Hwy
Bowie, MD 20716-1302
Phone (240) 206-7941

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.92

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38954CAMDDentist
23462MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Nov 22, 2019 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Nov 22, 2019 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Nov 29, 2021 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Nov 29, 2021 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Nov 22, 2019 Accepting new patients
Warfighter's Clinic Past Accepting new patients
Elam Sports, Inc Physical Therapist PastSince Sep 13, 2020 Accepting new patients
Elam Sports, Inc. Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

161 Jennifer Rd
Ste A
Annapolis, MD 21401

2327 Forest Dr
Ste D
Annapolis, MD 21401
Phone (443) 782-7243

3420 Crain Hwy
Bowie, MD 20716
Phone (240) 206-7941

3420 Crain Hwy
Unit 3410
Bowie, MD 20716
Phone (240) 206-7941

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

2420 N Salisbury Blvd
Unit 5
Salisbury, MD 21801
Phone (410) 546-4952

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1184925604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 FOREST DR STE D",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013865",
            "telephone_number": "443-782-7243",
            "fax_number": "410-881-6514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Kamokila Blvd",
            "address_2": "Ste. 114",
            "address_purpose": "LOCATION",
            "city": "Kapolei",
            "state": "HI",
            "postal_code": "967072014",
            "country_code": "US",
            "telephone_number": "808-674-9595",
            "fax_number": "808-674-9696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARLA",
        "middle_name": "RENEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38954",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "3304",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "TAYLOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.