Individual provider Active NPI

Katy Elizabeth Johnson, DPT

  • Physical Therapist
  • Sherman, TX
National Provider Identifier
1629424544
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1276036 Issued in TX
Practice address
2021 N Highway 1417
Sherman, TX 75092-3106
Phone
(903) 892-4800
Fax
(903) 892-4444
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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 1276036 TX Primary

Addresses

Primary practice location

2021 N Highway 1417
Sherman, TX 75092-3106

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160609001635 TX Practitioner - Physical Therapist in Private Practice 8022308667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Physical Therapy, LLCGroup PAC ID 0648583344, 95 clinicians

Practice addresses (Care Compare)

104 E US Hwy 80 180
Peak PT Forney
Forney, TX 75126-8615
Phone (972) 564-3390

125 W Interstate 30
Suite F
Royse City, TX 75189-7513
Phone (469) 513-9310

3100 Independence Pkwy
Suite 321
Plano, TX 75075-1997
Phone (469) 626-1007

905 E Hwy 82 130
Peak PT Gainsville
Gainesville, TX 76240-2267
Phone (940) 612-1821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1276036TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince May 25, 2016 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince May 25, 2016 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3926 Teasley Ln
Unit 105
Denton, TX 76210
Phone (833) 472-1770

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

12652 Timberland Blvd
Ste 110
Fort Worth, TX 76244
Phone (817) 973-6991

3100 Independence Pkwy
Ste 321
Plano, TX 75075
Phone (469) 626-1007

200 Beauchamp
Ste 112
Princeton, TX 75407
Phone (469) 378-3464

125 W Interstate 30
Ste F
Royse City, TX 75189
Phone (469) 513-9310

204 Medical Dr
Ste 160
Sherman, TX 75092
Phone (903) 892-4800

2021 N Highway 1417
Sherman, TX 75092
Phone (903) 892-4800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1629424544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N HIGHWAY 1417",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923106",
            "telephone_number": "903-892-4800",
            "fax_number": "903-892-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATY",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1276036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.