Miriah J Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7766 Issued in MN

Practice address

1625 Radio Dr
Suite 220
Woodbury, MN 55125-9407

Phone

(651) 241-3627

NPI assigned

Mar 1, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1215065396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ROELLER AVE",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551181653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 RADIO DR",
            "address_2": "SUITE 220",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259407",
            "telephone_number": "651-241-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MIRIAH",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Johnson, LGSW
• Lacie Leeann Johnson, LICSW
• Maryann S Johnson, PT
• Melissa Louise Johnson, LMFT
• Michael Randall Johnson, MD
• Rachel Valerie Johnson, PA-C
• Reed A Johnson, MD
• Rose Johnson, LPCC
• Ryan Daniel Johnson, OD
• Theresa Marie Johnson

• Physical Therapist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.