Active NPI
Johna Crull, PT
- Physical Therapist
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 292707
- Practice address
- 5620 Wilbur Ave Ste 320
Tarzana, CA 91356-1311 - Phone
- (818) 996-1725
- Fax
- (818) 996-0210
- NPI assigned
- Feb 8, 2007
- Last updated
- Oct 12, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 292707 | CA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT0006639 | FL |
Addresses
Primary practice location
5620 Wilbur Ave Ste 320
Tarzana, CA 91356-1311
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (951) 335-9825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3989 W Stetson Ave
Suite 105
Hemet, CA 92545-9697
Phone (951) 652-3334
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 292707 | CA | MD | Psychiatry Physician |
| PT0006639 | FL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| All Star Physical Therapy | Physical Therapist | Current | Accepting new patients |
| One-on-One Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Biomechanic Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
| Loudoun Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Virginia Hospital Center Arlington Health System | Past | Accepting new patients |
Locations
16008 Kamana Rd
Ste 200
Apple Valley, CA 92307
Phone (760) 810-7767
3989 W Stetson Ave
Ste 105
Hemet, CA 92545
Phone (951) 652-3334
450 W Palmdale Blvd
Palmdale, CA 93551
Phone (661) 273-5333
1338 Main St
Ramona, CA 92065
Phone (760) 789-1400
19510 Ventura Blvd
Ste 106
Tarzana, CA 91356
Phone (818) 996-1725
5620 Wilbur Ave
Ste 103
Tarzana, CA 91356
Phone (818) 758-2673
5620 Wilbur Ave
Ste 320
Tarzana, CA 91356
Phone (818) 344-6111
29645 Rancho California Rd
Ste 234
Temecula, CA 92591
Phone (951) 506-3001
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
Organizations & group practices 6
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.
-
- Physical Therapist
- Temecula, CA
- NPI 1750559431
-
- Physical Therapist
- Atlanta, GA
- NPI 1881766764
-
- Physical Therapy Clinic/Center
- Tarzana, CA
- NPI 1184605586
Physical Therapist
-
- Physical Therapist
- Hanover, PA
- NPI 1609904069
-
dba Loudoun Physical Therapy
- Physical Therapist
- Leesburg, VA
- NPI 1629128152
-
dba Virginia Hospital Center Outpatient Pharmacy
- Pharmacy
- Arlington, VA
- NPI 1790045052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1316087281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "951-335-9825",
"fax_number": "951-666-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 WILBUR AVE STE 320",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561311",
"telephone_number": "818-996-1725",
"fax_number": "818-996-0210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRULL",
"first_name": "JOHNA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "292707",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT0006639",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.