Active NPI
Natalie Theresa Johns, PT, DPT
- Physical Therapist
- Tahlequah, OK
National Provider Identifier
1316530801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046334
- Practice address
- 19600 E Ross St
Tahlequah, OK 74464-0545 - Phone
- (539) 234-1000
- NPI assigned
- Feb 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 046334 | NY | Primary |
Addresses
Primary practice location
19600 E Ross St
Tahlequah, OK 74464-0545
Mailing address
240 Harbor Hill Dr
Rochester, NY 14617-1463
Phone (585) 730-9318
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046334 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1316530801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 HARBOR HILL DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146171463",
"telephone_number": "585-730-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19600 E ROSS ST",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744640545",
"telephone_number": "539-234-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "NATALIE",
"middle_name": "THERESA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.