Active NPI
Elizabeth Johnson, PT, DPT
- Physical Therapist
- Burke, VA
National Provider Identifier
1467338830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305217655
- Practice address
- 6035 Burke Centre Pkwy
Burke, VA 22015-3750 - Phone
- (703) 978-3300
- NPI assigned
- Aug 12, 2025
- Last updated
- May 4, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25387 | MA | |
| Physical Therapist | 225100000X | 2305217655 | VA | Primary |
| Physical Therapist | 225100000X | P24614 | NC | |
| Physical Therapist | 225100000X | 15057 | CT |
Addresses
Primary practice location
6035 Burke Centre Pkwy
Burke, VA 22015-3750
Mailing address
93 Moosehill Rd
East Walpole, MA 02032-1431
Other practice location 1
7495 High Market St
Sunset Beach, NC 28468-4341
Phone (910) 332-3828
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 |
|---|---|---|---|
| 25387 | MA | MD | Physical Therapist |
| P24614 | NC | MD | Physical Therapist |
| 2305217655 | VA | MD | Physical Therapist |
| 15057 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Physical Therapist | Past | Accepting new patients |
| Emergeortho PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1467338830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 MOOSEHILL RD",
"city": "EAST WALPOLE",
"state": "MA",
"postal_code": "020321431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6035 BURKE CENTRE PKWY",
"city": "BURKE",
"state": "VA",
"postal_code": "220153750",
"telephone_number": "703-978-3300"
}
],
"practiceLocations": [
{
"address_1": "7495 High Market St",
"address_purpose": "LOCATION",
"city": "Sunset Beach",
"state": "NC",
"postal_code": "284684341",
"country_code": "US",
"telephone_number": "910-332-3828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ELIZABETH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-12",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "25387",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305217655",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P24614",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "15057",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.