Racine E Johnson, DPT/OT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

11610 Issued in NC

Practice address

105 Cliftwood Dr
Atlanta, GA 30328-4840

Phone

(770) 613-1201

Fax

(912) 205-3504

NPI assigned

May 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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 and National Provider Directory roles.

• Johnson Therapy Services

  • Physical Therapist
  • Charlotte, NC
  • NPI 1083125892

  Occupational Therapist

  NPD Authorized official
• Carolina Bone & Joint PA

  • Rheumatology Physician
  • Charlotte, NC
  • NPI 1619030079
  NPD (past)
• Carolina Bone & Joint PA

  • Orthopaedic Surgery Physician
  • Irmo, SC
  • NPI 1699261917
  NPD (past)
• Head Injury Center of Charlotte, Inc.

  • Adult Mental Health Clinic/Center
  • Charlotte, NC
  • NPI 1780684522
  NPD (past)
• Pivotal Health Solutions

  • Mental Health Counselor
  • Concord, NC
  • NPI 1669013041
  NPD (past)

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1407022064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10216 PERIMETER PKWY # 9",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162461",
            "telephone_number": "704-808-0992",
            "fax_number": "704-235-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CLIFTWOOD DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284840",
            "telephone_number": "770-613-1201",
            "fax_number": "912-205-3504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10216 Perimeter Pkwy # 9",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282162461",
            "country_code": "US",
            "telephone_number": "704-808-0992",
            "fax_number": "704-235-1973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RACINE",
        "middle_name": "E",
        "credential": "DPT/OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6889",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "11610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7302184",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q399850281",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul D Johnson, N.P.
• Paul Scott Johnson, M.D.
• Peace A. Johnson, PHARMD
• Qourtney Johnson
• Rachel Y Johnson, LMSW
• Rebecca Mary Johnson, PSY.D.
• Rebecca Patrice Johnson, LIMFT
• Rene D Johnson
• Richard Benjamin Johnson, M.D.
• Robert D Johnson Jr., PHARMD

• Orthopedic Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.