Active NPI
Natalie Frieda Johnston, P.T
- Pediatric Physical Therapist
- Iowa City, IA
National Provider Identifier
1467699892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 03265
- Practice address
- 1552 Mall Dr
Iowa City, IA 52240 - Phone
- (319) 351-5437
- NPI assigned
- Jan 7, 2009
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 03265 | IA | |
| Pediatric Physical Therapist | 2251P0200X | 03265 | IA | Primary |
Addresses
Primary practice location
1552 Mall Dr
Iowa City, IA 52240
Mailing address
1053 Cory Court
North Liberty, IA 52317
Phone (319) 665-2119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1053 Cory CT
North Liberty, IA 52317-9168
660 W Cherry St
Suite 2
North Liberty, IA 52317-9047
Phone (319) 382-2743
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03265 | IA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifestyle Health Therapies LLC | Geriatrics | Current | Accepting new patients |
Locations
660 W Cherry St
Ste 2
North Liberty, IA 52317
Phone (319) 382-2743
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": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1467699892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 CORY COURT",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "52317",
"telephone_number": "319-665-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1552 MALL DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52240",
"telephone_number": "319-351-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "NATALIE",
"middle_name": "FRIEDA",
"name_prefix": "Mrs.",
"credential": "P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "IA",
"license": "03265",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "IA",
"license": "03265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.