Kimberly Nicole Johnson, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22508 Issued in MD

Practice address

2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3742

Phone

(410) 295-8900

Fax

(410) 280-4701

NPI assigned

Jun 6, 2008

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

• Kimberly Nicole Hebert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Great Hands Inc

  • Physical Therapist
  • Silver Spring, MD
  • NPI 1861567018
  NPD (past)
• Luminis Health Medical Group, LLC

  • Orthopaedic Surgery Physician
  • Annapolis, MD
  • NPI 1780824615
  NPD (past)
• Oakbend Medical Center

  • Skilled Nursing Facility
  • Katy, TX
  • NPI 1558137075
  NPD (past)
• Sterling Therapy & Rehabilitation, PLLC

  • Physical Therapist
  • Sugar Land, TX
  • NPI 1417114364
  NPD (past)

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1275792970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY",
            "address_2": "SUITE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013742",
            "telephone_number": "410-295-8900",
            "fax_number": "410-280-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY",
            "address_2": "SUITE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013742",
            "telephone_number": "410-295-8900",
            "fax_number": "410-280-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HEBERT",
            "middle_name": "NICOLE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hollis Stewart Johnson
• Isaac Ramone Johnson, PT
• Jaelyn Johnson
• Jairus L Johnson, PA
• James Stephen Johnson, LCSW
• Lauren Johnson
• Mackenzie Johnson
• Maile Jones Johnson
• Mary Johanna Johnson, M.D.
• Ruby Johnson

• Physical Therapist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.