Active NPI
Claudia J Johnson, PTA
- Physical Therapy Assistant
- Louisville, KY
National Provider Identifier
1467548644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AO1306
- Practice address
- 12027 Running Creek Rd.
Louisville, KY 40243 - Phone
- (502) 836-9769
- Fax
- (502) 456-0985
- NPI assigned
- Oct 5, 2006
- 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 Therapy Assistant | 225200000X | AO1306 | KY | Primary |
Addresses
Primary practice location
12027 Running Creek Rd.
Louisville, KY 40243
Mailing address
13005 Tatersall LN.
Prospect, KY 40059
Phone (502) 292-2134
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 |
|---|---|---|---|
| AO1306 | KY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467548644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13005 TATERSALL LN.",
"city": "PROSPECT",
"state": "KY",
"postal_code": "40059",
"telephone_number": "502-292-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12027 RUNNING CREEK RD.",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40243",
"telephone_number": "502-836-9769",
"fax_number": "502-456-0985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CLAUDIA",
"middle_name": "J",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "AO1306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.