Jared Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05013899A Issued in IN

Practice address

1370 Veterans Pkwy Ste 1100
Clarksville, IN 47129-8700

Phone

(812) 727-6053

Fax

(812) 727-6054

NPI assigned

Jun 8, 2016

Sex

Male

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 KY, IN2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellis and Badenhausen Orthopaedics, PSCGroup PAC ID 9032104559, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ellis & Badenhausen Orthopaedics, PSC

  • Orthopaedic Surgery Physician
  • Louisville, KY
  • NPI 1346356284

  IN

  Medicare reassignment Care Compare group NPD
• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  IN

  Medicare reassignment
• Ellis & Badenhausen Orthopaedics, PSC

  • Orthopaedic Surgery Physician
  • New Albany, IN
  • NPI 1295455202

  Physical Therapist

  NPD
• Ellis & Badenhausen Orthopaedics, PSC

  • Physical Therapist
  • Louisville, KY
  • NPI 1477187920
  NPD
• Ellis & Badenhausen Orthopaedics, PSC

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1639896277
  NPD
• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Louisville, KY
  • NPI 1609117811
  NPD (past)
• Ellis & Badenhausen Orthopaedics,PSC

  • Orthopaedic Surgery Physician
  • Louisville, KY
  • NPI 1881702546
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1376992644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 VETERANS PKWY STE 1100",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471298700",
            "telephone_number": "812-727-6053",
            "fax_number": "812-727-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JARED",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013899A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Jewell
• Jewish Hospital & St. Mary's Healthcare, Inc. (Frazier Rehab Institute Southern Indiana)
• Jewish Hospital & St. Mary's Healthcare, Inc. (VNA Nazareth Home Care)
• John W Ihnen DMD LLC
• Alison Hahn Johnson, LCSW, LMFT, ACSW
• Olivia Johnson
• Tiffany Johnson, RBT
• Tiffany Dianne Johnson, LCSW
• Stephanie Ann Jolly, MD
• Kathryn Diane Jonas

• Physical Therapist in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; 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.