Active NPI
Monique D Johnson, DPT
- Physical Therapist
- Lanham, MD
National Provider Identifier
1457615007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18117
- Practice address
- 6602 Woodstream Dr
Lanham, MD 20706-2122 - Phone
- (301) 306-9013
- NPI assigned
- Jun 28, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 18117 | MD | Primary |
Addresses
Primary practice location
6602 Woodstream Dr
Lanham, MD 20706-2122
Mailing address
6602 Woodstream Dr
Lanham, MD 20706-2122
Phone (301) 306-9013
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18117 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1457615007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6602 WOODSTREAM DR",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062122",
"telephone_number": "301-306-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6602 WOODSTREAM DR",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062122",
"telephone_number": "301-306-9013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MONIQUE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.