Kimberly Johnson, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305209427 Issued in VA

Practice address

303 Maple Ave W
Suite F
Vienna, VA 22180-4312

Phone

(703) 272-8801

NPI assigned

Jul 24, 2015

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

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascend Physical Therapy and Wellness Inc.Group PAC ID 4587880356, 5 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.

• Ascend Physical Therapy & Wellness Inc.

  • Physical Therapist
  • Vienna, VA
  • NPI 1417370339

  DC

  Medicare reassignment Care Compare group NPD
• Deluxe Physical Therapy LLC

  • Physical Therapist
  • Vienna, VA
  • NPI 1700503067

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1295110773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MAPLE AVENUE WEST",
            "address_2": "SUITE F",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22180",
            "telephone_number": "703-272-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MAPLE AVE W",
            "address_2": "SUITE F",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804312",
            "telephone_number": "703-272-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alayjah Johnson
• Cynthia Malia Johnson
• Daija Johnson
• Erika Johnson, MS, RD, CSR
• Kathryn Johnson, DPT
• Matilda Johnson, RDN, MS, MPH, PHD
• Join Acupuncture and Herb in VA LLC
• Damon Jones
• Nicole Elizabeth Jones, PMHNP-BC
• Simone B Jones, M.A., LBS, BCBA

• Physical Therapist in Vienna, VA
• Providers in Vienna, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; 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.