Jeanne May Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0006228 Issued in CO

Practice address

2735 Dristol Dr
Colorado Springs, CO 80920-5114

Phone

(719) 510-4941

NPI assigned

Jun 8, 2018

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

Other identifiers 1

Other names 1

• Jeanne May Anderson Former name

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1598258147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 DRISTOL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205114",
            "telephone_number": "719-510-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 DRISTOL DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809205114",
            "telephone_number": "719-510-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEANNE",
        "middle_name": "MAY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0006228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTL",
            "identifier": "0006228",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "ANDERSON",
            "middle_name": "MAY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jallia Johnson
• Jameila Johnson
• James Johnson
• Jamie Denise Johnson
• Jeanne Ann Johnson, LPN
• Jenny Lynn Johnson, MA, LPC, LAC
• Jeremy Duane Johnson, PA-C
• Jessica Johnson
• Jessica Johnson
• Judy L Johnson, RDH

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.