Kayla M Johnson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-03468 Issued in KS

Practice address

234 W Greenway St
Derby, KS 67037-2641

Phone

(316) 788-6734

NPI assigned

Dec 18, 2018

Last updated

Dec 18, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Michael D Gordon OD PA

  • Optometrist
  • Wichita, KS
  • NPI 1306943519
  NPD (past)
• Novacare Outpatient Rehabilitation Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Derby, KS
  • NPI 1952306938
  NPD (past)

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1629540471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W GREENWAY ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372641",
            "telephone_number": "316-788-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 W GREENWAY ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372641",
            "telephone_number": "316-788-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAYLA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-03468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jamison, PHARMD
• Tim Jantzi, DPT
• Jeanine Jantz, LCPC, LLC
• Cassidy Jensen
• Garrison Johnson
• Amie Nichole Jones, APRN
• David Robert Jowdy, D.C.
• Jury Eye Care LLC
• Riena Kain, LSCSW
• Kansas Chiropractic Clinics, LLC

• Physical Therapy Assistant in Derby, KS
• Providers in Derby, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.