Jenny L Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

21400 72ND Ave W
Edmonds, WA 98026-7702

Phone

(425) 608-2534

NPI assigned

Jun 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jenilee L Johnson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427254895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22919 BRIER RD",
            "city": "BRIER",
            "state": "WA",
            "postal_code": "980368243",
            "telephone_number": "425-771-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21400 72ND AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267702",
            "telephone_number": "425-608-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNY",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENILEE",
            "last_name": "JOHNSON",
            "middle_name": "L",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hye Yeon Jhun, MD
• Bennett M Johnson, MD
• Chantier Johnson
• Clifford John Johnson, DO
• Greg Sinding Johnson, D.O.
• Katie Johnson
• Kirsten Johnson
• Makenzie Lynn Johnson
• Stephen C Johnson, RPH
• Eileen Johnston, MD

• Physical Therapy Assistant in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Physical Therapy Assistant in Washington

• 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.