Individual provider Active NPI

Beatriz Alejandra Johnson, DPT

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1427573559
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0015115 Issued in CO
Practice address
2350 Limon Dr
Fort Collins, CO 80525-7622
Phone
(970) 204-4331
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0015115 CO Primary

Addresses

Primary practice location

2350 Limon Dr
Fort Collins, CO 80525-7622

Mailing address

1515 Cirque Valley LN
Severance, CO 80550-3280
Phone (956) 451-8671

Other practice location 1

802 W Drake Rd Ste 133A
Fort Collins, CO 80526-5567
Phone (970) 494-6449

Other identifiers 2

IdentifierTypeStateIssuer
1427573559MedicaidCO
9000159982MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1427573559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CIRQUE VALLEY LN",
            "city": "SEVERANCE",
            "state": "CO",
            "postal_code": "805503280",
            "telephone_number": "956-451-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 LIMON DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257622",
            "telephone_number": "970-204-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 W Drake Rd Ste 133A",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805265567",
            "country_code": "US",
            "telephone_number": "970-494-6449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BEATRIZ",
        "middle_name": "ALEJANDRA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427573559",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000159982",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.