Marcia Johanson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20723 Issued in CA

Practice address

11960 Heritage Oak PL Ste 19
Auburn, CA 95603-2403

Phone

(530) 878-5301

Fax

(530) 878-5303

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Family Physical Therapy IncGroup PAC ID 0143328997, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AHHIAD

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.

• Family Physical Therapy, Inc

  • Physical Therapist
  • Roseville, CA
  • NPI 1043337272
  Medicare reassignment Care Compare group
• Chapa-de Indian Health Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Auburn, CA
  • NPI 1114057163
  Medicare reassignment NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376564781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588N SUNRISE AVE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612843",
            "telephone_number": "916-782-7848",
            "fax_number": "916-782-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 HERITAGE OAK PL STE 19",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032403",
            "telephone_number": "530-878-5301",
            "fax_number": "530-878-5303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Micron",
            "address_2": "106",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95827",
            "country_code": "US",
            "telephone_number": "916-362-7962",
            "fax_number": "916-362-7963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHANSON",
        "first_name": "MARCIA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "20723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jensen, RN, PHN
• Leah Jensen
• Marla Jean Jensen, LCSW
• Jesse Whitely DDS, Inc
• Patrick Jew, MS,PT
• Jugraj Singh Johl, PHARM D
• Becca D. Johnson, OT
• David C Johnson
• Eileen Marie Johnson, RN, PHN
• Jeremy Johnson

• Physical Therapist in Auburn, CA
• Providers in Auburn, CA by specialty
• Physical Therapist in California

• 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.
• 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.