Dara Ann Johanson, P.T.
Individual provider Active NPI Physical Therapist · Webster, TX
NPI 1487709358 · NPPES record last updated Sep 29, 2022
Key facts
- NPI
- 1487709358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1171178 (TX)
- Practice address
- 17326 Highway 3
Webster, TX 77598-4133 - Phone
- (281) 332-3000
- Fax
- (281) 332-9171
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1171178 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theramedic Rehab Inc. | Current |
Accepting new patients | |
| Green Oaks Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Fitness & Rehabilitation Services, LLC | Physical Therapist | Past |
Accepting new patients |
| Harone, PA | Past |
Accepting new patients | |
| Green Oaks Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
12603 Southwest Fwy
Ste 101
Stafford, TX 77477
Phone (281) 495-8258
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1171178 | TX | Yes |
Addresses
Primary practice location
17326 Highway 3
Webster, TX 77598-4133
Mailing address
17326 Highway 3
Webster, TX 77598-4133
Phone (281) 332-3000
Other practice location 1
1690 W Baker Rd Ste A
Baytown, TX 77521-2416
Phone (346) 216-5500
Other practice location 2
12000 Richmond Ave Ste 135
Houston, TX 77082-2455
Phone (832) 598-2135
Other practice location 3
21660 Kingsland Blvd Ste 100
Katy, TX 77450-2511
Phone (281) 495-8258
Other practice location 4
12603 Southwest Fwy Ste 101
Stafford, TX 77477-3841
Phone (281) 495-8258
Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2022. 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.