Nika Marie Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.011691 Issued in IL

Practice address

297 Woodstock Ave
Glen Ellyn, IL 60137-4862

Phone

(708) 334-7197

NPI assigned

Jan 15, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Boston University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorycare CorporationGroup PAC ID 3870785132, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Memorycare Corporation

  • Speech-Language Pathologist
  • Aurora, IL
  • NPI 1609193515
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1497229280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 WOODSTOCK AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374862",
            "telephone_number": "708-334-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 WOODSTOCK AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374862",
            "telephone_number": "708-334-7197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 S Ardmore Ave",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601813742",
            "country_code": "US",
            "telephone_number": "630-534-0886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NIKA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.011691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Jensby, PHARMD
• Jessica Lynn Gibbs, DDS, P.C.
• Jessica Lynn Gibbs, DDS, P.C.
• Zoe Argiro Johnsen, MS CF SLP
• Marilanne Johnson, MD
• Shannon Johnson, PA
• Charita Jones, LMT,NCTMB
• William Brent Jones, MSW
• Katina Jonkman
• Katherine Jost, MA

• Physical Therapist in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.

Verify at the official NPI Registry.