Heather Lynne Johanson-Wilson, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

010605 Issued in NY

Practice address

203 Madison Ave
Valhalla, NY 10595-1827

Phone

(914) 522-7651

NPI assigned

Nov 20, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1477708253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MADISON AVE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951827",
            "telephone_number": "914-522-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MADISON AVE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951827",
            "telephone_number": "914-522-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSON-WILSON",
        "first_name": "HEATHER",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "010605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosani Jimenez Bencosme
• Cristian Andres Jimenez
• Chengyue Jin, MD
• Duo Jin, MD
• Angela Jing
• John Cappa DPM PC
• Dennis Philip John, MD
• Devon John, M.D.
• Jenson John, DO
• Erik Matthew Johnsen, MD

• Pediatric Physical Therapist in Valhalla, NY
• Providers in Valhalla, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.