Kathryn Elizabeth Johnson, DPT
Individual provider Active NPI Physical Therapist · Conneaut, OH
NPI 1467729798 · NPPES record last updated Dec 1, 2011
Key facts
- NPI
- 1467729798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT021354 (PA)
- Practice address
- 348 W Main Rd
Suite B
Conneaut, OH 44030-2063 - Phone
- (440) 593-2804
- Fax
- (440) 593-2820
- NPI assigned
- Dec 1, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT13512 | OH | MD | Physical Therapist |
| PT021354 | PA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT13512 | OH | |
| Physical Therapist | 225100000X | PT021354 | PA | Yes |
Addresses
Primary practice location
348 W Main Rd
Suite B
Conneaut, OH 44030-2063
Mailing address
348 W Main Rd
Suite B
Conneaut, OH 44030-2063
Phone (440) 593-2804
Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.