Heather Johnston, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05004624A Issued in IN

Practice address

1805 E Hoffer St
Kokomo, IN 46902-2443

Phone

(765) 450-7261

NPI assigned

Aug 26, 2020

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 names 1

• Heather Rennie Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAGroup PAC ID 7012997638, 385 clinicians

Practice addresses (Care Compare)

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.

• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

  • Physical Therapist
  • Peru, IN
  • NPI 1750764494
  Medicare reassignment Care Compare group NPD
• Elite Therapy Corp

  • Physical Therapist
  • Kokomo, IN
  • NPI 1235693300
  Medicare reassignment
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1215637699
  NPD
• Elite Home Rehab and Healthcare Corp

  • Home Health Agency
  • Carmel, IN
  • NPI 1740630110
  NPD (past)
• Elite Therapy Corp

  • Rehabilitation Clinic/Center
  • Lafayette, IN
  • NPI 1306493119
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1245843606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 SUMMER OAK DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E HOFFER ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022443",
            "telephone_number": "765-450-7261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 E Carmel Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323314",
            "country_code": "US",
            "telephone_number": "765-210-4899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "HEATHER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004624A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "RENNIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Philip Gabriel Johnson, M.D.
• Savanah Johnson
• Savannah Elizabeth Johnson, MA
• Valerie Johnson, NURSE PRACTITIONER
• Ashley L Johnston, FNP
• Joint Heirs Pediatrics LLC
• Jon Weaver Audiology and Hearing AIDS, Inc
• Alexandra Jones
• Cheryl Ann Jones, P.T.
• Diana Marie Jones

• Physical Therapist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.