Sally Johnson, B.S., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502004682 Issued in MI

Practice address

1001 M 28 E Ste 8
Marquette, MI 49855-9322

Phone

(906) 273-1525

Fax

(906) 273-1535

NPI assigned

Aug 11, 2015

Last updated

Aug 11, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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.

• Northern Michigan Physical Therapy

  • Physical Therapy Clinic/Center
  • Marquette, MI
  • NPI 1558646109
  NPD (past)

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1265808414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 STATE HIGHWAY M35",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498669544",
            "telephone_number": "906-202-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 M 28 E STE 8",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559322",
            "telephone_number": "906-273-1525",
            "fax_number": "906-273-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SALLY",
        "credential": "B.S., PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A Johnson, LMSW
• Lynn Johnson, LLP
• Michelle Dawn Johnson
• Riley Johnson, MD
• Ryan Johnson
• Stephan Johnson
• Stuart K Johnson, DO
• Tanya Johnson, CHW
• Gregory Daniel Jones, MD
• Gregory Sansom Jones, PHD

• Physical Therapy Assistant in Marquette, MI
• Providers in Marquette, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.