Individual provider Active NPI

Aisha Rashida Johnson, P.T.A.

  • Physical Therapy Assistant
  • Indianapolis, IN
National Provider Identifier
1396772307
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06003008A Issued in IN
Practice address
8150 Oaklandon Rd
Suite 111
Indianapolis, IN 46236-9525
Phone
(317) 823-8400
Fax
(317) 823-8402
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06003008A IN Primary

Addresses

Primary practice location

8150 Oaklandon Rd
Suite 111
Indianapolis, IN 46236-9525

Mailing address

8150 Oaklandon Rd
Suite 111
Indianapolis, IN 46236-9525
Phone (317) 823-8400

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06003008AINMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396772307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 OAKLANDON RD",
            "address_2": "SUITE 111",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369525",
            "telephone_number": "317-823-8400",
            "fax_number": "317-823-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 OAKLANDON RD",
            "address_2": "SUITE 111",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369525",
            "telephone_number": "317-823-8400",
            "fax_number": "317-823-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AISHA",
        "middle_name": "RASHIDA",
        "name_prefix": "Miss",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06003008A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.