Active NPI
Kari Johnson
- Physical Therapist
- West Fargo, ND
National Provider Identifier
1316021900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1258
- Practice address
- 318 Edgewater Dr
West Fargo, ND 58078-4247 - Phone
- (701) 361-2727
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1258 | ND | Primary |
| Physical Therapist | 225100000X | 6338 | MN |
Addresses
Primary practice location
318 Edgewater Dr
West Fargo, ND 58078-4247
Mailing address
318 Edgewater Dr
West Fargo, ND 58078-4247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6338 | MN | MD | Chiropractor |
| 1258 | ND | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1316021900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 EDGEWATER DR",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580784247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 EDGEWATER DR",
"city": "WEST FARGO",
"state": "ND",
"postal_code": "580784247",
"telephone_number": "701-361-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KARI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1258",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6338",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.