Elizabeth Alyce Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300995 Issued in CA

Practice address

10538 Mission Gorge Rd
Santee, CA 92071-3154

Phone

(619) 312-6109

NPI assigned

Sep 30, 2021

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select San Diego Physical Therapy PCGroup PAC ID 4981088994, 58 clinicians

Practice addresses (Care Compare)

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.

• Select San Diego Physical Therapy, PC.

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1700516408
  Medicare reassignment Care Compare group NPD
• Select San Diego Physical Therapy, PC.

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1215667928
  NPD
• Select San Diego Physical Therapy, PC.

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1992435606

  Physical Therapist

  NPD

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1417629130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10538 MISSION GORGE RD STE 120",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713154",
            "telephone_number": "619-312-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10538 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713154",
            "telephone_number": "619-312-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "middle_name": "ALYCE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woong Soo Jeon, L.AC.
• Priscilla Jimenez
• Wendy Jimenez, RD, CDE
• Angela Joab
• Cossette Georgina Johnson
• Julia Wiscombe Johnson, LCSW
• Matthew Conrad Johnson, MA, AMFT 142969
• Noah Compton Johnson, MD
• Sarah Ellen Johnson, LVN
• Shandar Lee Johnson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.