Active NPI
Kevin Stewart Johnson, DPT
- Physical Therapist
- Owatonna, MN
National Provider Identifier
1194010637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8693
- Practice address
- 123 W Broadway St
Owatonna, MN 55060-2301 - Phone
- (507) 451-7888
- Fax
- (507) 451-3322
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8693 | MN | Primary |
Addresses
Primary practice location
123 W Broadway St
Owatonna, MN 55060-2301
Mailing address
123 W Broadway St
Owatonna, MN 55060-2301
Phone (507) 451-7888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1194010637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 W BROADWAY ST",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550602301",
"telephone_number": "507-451-7888",
"fax_number": "507-451-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W BROADWAY ST",
"city": "OWATONNA",
"state": "MN",
"postal_code": "550602301",
"telephone_number": "507-451-7888",
"fax_number": "507-451-3322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KEVIN",
"middle_name": "STEWART",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "8693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owatonna, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.