Leslie Lynelle Johnson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

R1186 Issued in MO

Practice address

8121 E Highway 69
Kansas City, MO 64119-3186

Phone

(816) 414-5808

Fax

(816) 414-5810

NPI assigned

Sep 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Leslie Lynelle Daberkow Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1467649046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11009",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641190009",
            "telephone_number": "816-414-5808",
            "fax_number": "816-414-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 E HIGHWAY 69",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641193186",
            "telephone_number": "816-414-5808",
            "fax_number": "816-414-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LESLIE",
        "middle_name": "LYNELLE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "R1186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "DABERKOW",
            "middle_name": "LYNELLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Knikkia Chartez Johnson, LMSW
• Kristen Johnson
• Laken Johnson
• Lara Breed Johnson, MSW
• Leslie Johnson, RD LD
• Madeline Johnson, MD
• Margret Johnson
• Mathew Johnson
• Matthew B Johnson, M.D.
• Megan Amanda Johnson

• Physical Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.