Active NPI
Courtney Lee Johnson, DPT
- Physical Therapist
- Henderson, NV
National Provider Identifier
1467067082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4387
- Practice address
- 1358 Paseo Verde Pkwy Ste 200
Henderson, NV 89012-5725 - Phone
- (702) 847-7435
- Fax
- (702) 564-4838
- NPI assigned
- Sep 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4387 | NV | |
| Physical Therapist | 225100000X | 4387 | NV | Primary |
Addresses
Primary practice location
1358 Paseo Verde Pkwy Ste 200
Henderson, NV 89012-5725
Mailing address
1333 N Buffalo Dr Unit 170
Las Vegas, NV 89128-3637
Phone (702) 660-2694
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EMR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy West LLC | Physical Therapist | Past | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Las Vegas, NV
- NPI 1972168540
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1467067082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 N BUFFALO DR UNIT 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891283637",
"telephone_number": "702-660-2694",
"fax_number": "702-750-1372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1358 PASEO VERDE PKWY STE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890125725",
"telephone_number": "702-847-7435",
"fax_number": "702-564-4838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "COURTNEY",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NV",
"license": "4387",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "4387",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EMR",
"affiliation": "N",
"address_1": "1358 Paseo Verde Pkwy Ste 200",
"city": "Henderson",
"state": "NV",
"country_code": "US",
"postal_code": "890125725",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.