Stefanie Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026583 Issued in NY

Practice address

200 Broad St
Schuylerville, NY 12871-1024

Phone

(518) 695-3668

Fax

(518) 695-3614

NPI assigned

Oct 31, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saratoga Care Family Health Centers, Inc.

  • Family Medicine Physician
  • Saratoga Springs, NY
  • NPI 1619962404
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205912383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661009",
            "telephone_number": "518-580-2022",
            "fax_number": "518-584-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BROAD ST",
            "city": "SCHUYLERVILLE",
            "state": "NY",
            "postal_code": "128711024",
            "telephone_number": "518-695-3668",
            "fax_number": "518-695-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEFANIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00697301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Brian Fear, MPT
• Emilee E Gallagher, CCC-SLP
• Paula M Gardner, OTR/L
• Yvette Beth Grimes, R.N.
• Bruce Harro, M.D.
• Deborah Kelly
• Kristen Marie Klein, CNM. LM
• Kelly Kolnick, LCSW-R
• Tara L Lafave
• Jason Lambert, PT

• Physical Therapist in Schuylerville, NY
• Providers in Schuylerville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.