Kathy Ann Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005034 Issued in IA

Practice address

115 N Mill St
Lake Mills, IA 50450-1303

Phone

(641) 592-3500

NPI assigned

Jun 26, 2007

Last updated

Aug 3, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lake Mills Physical Therapy LLC

  • Physical Therapist
  • Lake Mills, IA
  • NPI 1295138436
  NPD (past)
• Lisa Stutzman Physical Therapy PC

  • Physical Therapist
  • Lake Mills, IA
  • NPI 1063519692
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1427254382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N MILL ST",
            "city": "LAKE MILLS",
            "state": "IA",
            "postal_code": "504501303",
            "telephone_number": "641-592-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N MILL ST",
            "city": "LAKE MILLS",
            "state": "IA",
            "postal_code": "504501303",
            "telephone_number": "641-592-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "0495",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "005034",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anderson Chiropractic & Wellness
• Andrew Robert Anderson, DC
• Scott Marlin Bosacker, D.D.S
• Dana John Dakken, DC
• Susan C Howard, PT
• Keith A. Johnson, DDS
• Keith a. Johnson, DDS, PC
• Lake Mills Ambulance Service
• Lake Mills Community School
• Lake Mills Family Dental PC

• Physical Therapist in Lake Mills, IA
• Providers in Lake Mills, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.