Active NPI
Jessica Lindsey Johnson, DPT
- Physical Therapist
- Puyallup, WA
National Provider Identifier
1437341609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7988
- Practice address
- 2904 4TH Ave NE
Suite 300
Puyallup, WA 98372-7053 - Phone
- (253) 840-2313
- Fax
- (253) 840-6340
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7988 | MN | Primary |
Addresses
Primary practice location
2904 4TH Ave NE
Suite 300
Puyallup, WA 98372-7053
Mailing address
1143 Lakemoor Dr
Woodbury, MN 55129-5307
Phone (651) 436-6883
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7988 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1437341609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1143 LAKEMOOR DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551295307",
"telephone_number": "651-436-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2904 4TH AVE NE",
"address_2": "SUITE 300",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983727053",
"telephone_number": "253-840-2313",
"fax_number": "253-840-6340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JESSICA",
"middle_name": "LINDSEY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.