Laura C Johnson, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

36792

Practice address

2387 Lantern St
Charleston, SC 29414-4850

Phone

(317) 750-9879

NPI assigned

Mar 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Coastal Play 2 Grow Therapy, LLC

  • Physical Therapist
  • Charleston, SC
  • NPI 1750828364

  Pediatrics

  NPD

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1295320224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 ARCHIBALD DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294458211",
            "telephone_number": "843-330-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2387 LANTERN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294144850",
            "telephone_number": "317-750-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAURA",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": "36792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katlyn Johnson
• Kimberly R Johnson, CRNA
• Kolby Maria Johnson, MD
• Laken Marie Johnson, MD
• Lakivina Johnson
• Lindsey C Johnson, NP
• Lisa Johnson, MD
• Lisa Poss Johnson, MSN, NNP
• Magdalena Johnson, LMFT
• Mary Johnson, PNP

• Pediatric Physical Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.