Sophia Loren Johnson, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2023047998 Issued in MO

Practice address

1101 Highway K
O Fallon, MO 63366-8431

Phone

(636) 379-6363

NPI assigned

Dec 13, 2023

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1225806722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 BROOKSIDE FOREST CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633665091",
            "telephone_number": "636-345-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633668431",
            "telephone_number": "636-379-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SOPHIA",
        "middle_name": "LOREN",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023047998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Marshall Johnson, DDS
• Ashley Johnson, SLP
• Debra Lee Johnson
• Melissa L Johnson, MPT
• Nicholas Samuel Johnson, FNP
• Todd Johnson
• Christopher Anthony Johnston, D.P.T.
• Lamette Johnstone, PLPC
• Jones Legacy Home Health, LLC
• Kevin Jones

• Physical Therapist in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.