Johanna Lewis Cary, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29151 Issued in FL

Practice address

4554 E Highway 20
Niceville, FL 32578-9755

Phone

(850) 897-7772

Fax

(888) 308-1539

NPI assigned

Mar 30, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Womens Manual Physical Therapy LLC

  dba FYZICAL Therapy and Balance Center

  • Physical Therapist
  • Crestview, FL
  • NPI 1013221894
  Medicare reassignment NPD

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1205576121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 RIDGEWOOD WAY",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325784207",
            "telephone_number": "850-865-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 E HIGHWAY 20",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325789755",
            "telephone_number": "850-897-7772",
            "fax_number": "888-308-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARY",
        "first_name": "JOHANNA",
        "middle_name": "LEWIS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Douglas Carnley, APRN, FNP-C
• Carpenter House Inc.
• Kelsey Carr
• Kaitlyn Carter, PT, DPT, NTMTC
• Karen Henard Carter, D.C.
• Larry James Casey, D.D.S.
• Eden Leigh Cassidy
• Lori Clark Cathey, RPH
• Candice Brittany Cecil
• Ariell Roxanne Chambers, M.S., CCC-SLP

• Physical Therapist in Niceville, FL
• Providers in Niceville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.