Individual provider Active NPI

Erin N Menard-Johnston, DPT

  • Physical Therapist
  • Southampton, MA
National Provider Identifier
1669431193
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15622 Issued in MA
Practice address
308 Fomer Rd
Southampton, MA 01073-9663
Phone
(413) 219-5547
NPI assigned
Mar 22, 2006
Last updated
Nov 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15622 MA Primary
Physical Therapist 225100000X 008109 CT

Addresses

Primary practice location

308 Fomer Rd
Southampton, MA 01073-9663

Mailing address

308 Fomer Rd
Southampton, MA 01073-9663
Phone (413) 219-5547

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

State licenses

LicenseStateTypeSpecialty
008109CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Hartford Physical Therapy Physical Therapist Past Accepting new patients
Connecticut Spine and Sports Physicians, Inc. Past Accepting new patients
Pioneer Spine and Sports Physicians PC PastSince Sep 5, 1997 Accepting new patients
Pioneer Spine and Sports Physicians, PC Physical Therapist PastSince Jun 23, 2003 Accepting new patients

Organizations & group practices 4

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1669431193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 FOMER RD",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739663",
            "telephone_number": "413-219-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 FOMER RD",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739663",
            "telephone_number": "413-219-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARD-JOHNSTON",
        "first_name": "ERIN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15622",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.