Jill Marie Johnston, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3572 Issued in WI

Practice address

W359N5002 Brown St
Suite B
Oconomowoc, WI 53066-3366

Phone

(262) 366-9340

Fax

(262) 560-4100

NPI assigned

Jul 13, 2006

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)

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.

• Back on Track Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Oconomowoc, WI
  • NPI 1720052798
  NPD (past) Authorized official
• Rhythm of Life - Chiropractic Family Wellness LLC.

  • Chiropractor
  • Oconomowoc, WI
  • NPI 1578725016
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194740696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 TALL GRASS CIR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882657",
            "telephone_number": "262-521-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W359N5002 BROWN ST",
            "address_2": "SUITE B",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663366",
            "telephone_number": "262-366-9340",
            "fax_number": "262-560-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Berthelsen LCSW LLC
• John T Bitner DDS LLC
• Dale Alan Johnson, MD
• Jacob Johnson, PHARMD
• Kendra Johnson, ATC, LAT
• Heather M Jones, PHD
• Gerald J. Kallas, M.D.
• Susan M Karman, RN
• Kimberly J Kastner, M.D.
• Katherine a. Knabe, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.