Cortney Johnson, LICENSED PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3703 Issued in SC

Practice address

120 Lakes at Litchfield Dr
Pawleys Island, SC 29585-9001

Phone

(843) 314-5642

NPI assigned

Apr 1, 2019

Last updated

Apr 1, 2019By 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 1

Addresses

Other names 1

• Cortney Madden Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1427510445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 POLLEN LOOP",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768588",
            "telephone_number": "843-655-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAKES AT LITCHFIELD DR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295859001",
            "telephone_number": "843-314-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CORTNEY",
        "credential": "LICENSED PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORTNEY",
            "last_name": "MADDEN",
            "credential": "LICENSED PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathryn Wolf Jacobson, M.S.W.
• Leslie E Jafarace, MSOM
• Christine L James, LPC
• Jelinek Dental, Inc
• Brian G Jelinek, DMD
• Desjuana Johnson
• Jennifer L Johnson, PA-C
• Jessica Fortune Johnson, OTRL
• Angela Kaye Jones, LMT MLDT
• Amy Helen Josey-Lamont, OT

• Physical Therapy Assistant in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.