Individual provider Active NPI

Dara Ann Johanson, P.T.

  • Physical Therapist
  • Webster, TX
National Provider Identifier
1487709358
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1171178 Issued in TX
Practice address
17326 Highway 3
Webster, TX 77598-4133
Phone
(281) 332-3000
Fax
(281) 332-9171
NPI assigned
Jan 23, 2007
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1171178 TX Primary

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

12000 Richmond Ave Ste 135
Houston, TX 77082-2455
Phone (832) 598-2135

Other practice location 2

12603 Southwest Fwy Ste 101
Stafford, TX 77477-3841
Phone (281) 495-8258

Other practice location 3

21660 Kingsland Blvd Ste 100
Katy, TX 77450-2511
Phone (281) 495-8258

Other practice location 4

1690 W Baker Rd Ste A
Baytown, TX 77521-2416
Phone (346) 216-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Theramedic Rehab Inc. CurrentSince Mar 31, 2024 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Harone, PA PastSince Nov 1, 2016 Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients
Fitness & Rehabilitation Services, LLC Physical Therapist PastSince Feb 1, 2021 Accepting new patients

Locations

12603 Southwest Fwy
Ste 101
Stafford, TX 77477
Phone (281) 495-8258

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1487709358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17326 HIGHWAY 3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984133",
            "telephone_number": "281-332-3000",
            "fax_number": "281-332-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17326 HIGHWAY 3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984133",
            "telephone_number": "281-332-3000",
            "fax_number": "281-332-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12000 Richmond Ave Ste 135",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770822455",
            "country_code": "US",
            "telephone_number": "832-598-2135",
            "fax_number": "832-916-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12603 Southwest Fwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "TX",
            "postal_code": "774773841",
            "country_code": "US",
            "telephone_number": "281-495-8258",
            "fax_number": "832-550-2350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21660 Kingsland Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774502511",
            "country_code": "US",
            "telephone_number": "281-495-8258",
            "fax_number": "832-550-2350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1690 W Baker Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775212416",
            "country_code": "US",
            "telephone_number": "346-216-5500",
            "fax_number": "346-888-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHANSON",
        "first_name": "DARA",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1171178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.