Active NPI
La Donna Johns, OTR
- Physical Medicine & Rehabilitation Physician
- Warren, MI
National Provider Identifier
1396926622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 5201003531
- Practice address
- 4600 E 14 Mile Rd
Warren, MI 48092-4369 - Phone
- (866) 335-3255
- Fax
- (586) 601-2500
- NPI assigned
- Nov 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Medicine & Rehabilitation Physician | 208100000X | 5201003531 | MI | Primary |
Addresses
Primary practice location
4600 E 14 Mile Rd
Warren, MI 48092-4369
Mailing address
4600 E 14 Mile Rd
Warren, MI 48092-4369
Phone (866) 335-3255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1983
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
331 Central Ave
Suite 1
Orange, NJ 07050-2407
Phone (973) 673-4600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201003531 | MI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activa Rehabilitation Services LLC | Current | Accepting new patients |
Locations
331 Central Ave
#1
Orange, NJ 07050
Phone (973) 673-4600
Organizations & group practices 1
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.
-
- Physical Therapist
- Orange, NJ
- NPI 1366796039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1396926622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 E 14 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480924369",
"telephone_number": "866-335-3255",
"fax_number": "586-601-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 E 14 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480924369",
"telephone_number": "866-335-3255",
"fax_number": "586-601-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "LA DONNA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "5201003531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.