Tanya D. Johnson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1480 Issued in AR

Practice address

704 W Grove St
Suite 5
El Dorado, AR 71730-4416

Phone

(870) 862-1144

Fax

(870) 864-0782

NPI assigned

Sep 14, 2007

Last updated

Sep 14, 2007By the provider in NPPES

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

Other names 1

• Tanya Cansdale Former name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Center of South Arkansas IncGroup PAC ID 9234112129, 2 clinicians

Andrew Paul Abraham PT PAGroup PAC ID 9739108739, 15 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andrew Paul Abraham PT PA

  dba Searcy Physical Therapy

  • Physical Therapist
  • Searcy, AR
  • NPI 1043296981
  Medicare reassignment Care Compare group NPD
• Physical Therapy Center of South Arkansas Inc

  • Physical Therapy Clinic/Center
  • El Dorado, AR
  • NPI 1194892406

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Precision One Therapy & Associates

  • Health Service Clinic/Center
  • El Dorado, AR
  • NPI 1295019321

  Physical Therapist

  NPD
• South Arkansas Orthopaedics and Sports Medicine Center PLLC

  dba South Arkansas Orthopaedics

  • Specialist
  • El Dorado, AR
  • NPI 1407845951
  NPD (past)
• South Arkansas Physician Services LLC

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1427018704
  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1326234154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 SCOTTSVILLE RD",
            "address_2": "B2, PMB 356",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043376",
            "telephone_number": "270-842-8824",
            "fax_number": "270-842-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W GROVE ST",
            "address_2": "SUITE 5",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-862-1144",
            "fax_number": "870-864-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TANYA",
        "middle_name": "D.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT1480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "CANSDALE",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randall W Jerry, DPT
• Jo O'Guinn-Charles, PLLC
• Casey Johnson, PTA
• James D Johnson, DC
• Lakesha L Johnson
• William Keith Joiner, OTR/L
• Kelsey Newton Jones, LAC
• Shelby Jones
• Steve A Jones, MD PA
• Tara Renee Jones, CARE PROVIDER

• Physical Therapist in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.