Crystal Johnson, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Wartburg, TN
NPI 1427413301 · NPPES record last updated Apr 9, 2020
Key facts
- NPI
- 1427413301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9119 (TN)
- Practice address
- 100 Letory Rd
Wartburg, TN 37887-3224 - Phone
- (702) 556-8948
- NPI assigned
- Dec 21, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2066 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HHC, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2066 | NV | |
| Physical Therapist | 225100000X | 9119 | TN | Yes |
Addresses
Primary practice location
100 Letory Rd
Wartburg, TN 37887-3224
Mailing address
18 Wendy Pointe
Jamestown, TN 38556-5175
Phone (702) 556-8948
Other providers in Wartburg, TN
- Benjamin R Howard
- Robert Allan Hysell Jr.
- Ionela M Krulewich Dba Eagle Care TN
- Heather Jackson
- Tina Louise Jackson
- Jerrica Ann Jones
- David D. Kelner
- Sydney Kidd
- Ionela M Krulewich
- Joel Amontos Lasig
All providers in Wartburg, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.