Ellis Edward Johnson III, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

03226 Issued in LA

Practice address

35055 La Hwy 16
Ste 1C
Denham Springs, LA 70706

Phone

(225) 791-7770

Fax

(225) 791-7725

NPI assigned

Aug 9, 2006

Last updated

Jan 5, 2011By the provider in NPPES

Sex

Male

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 LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Quest Physical TherapyGroup PAC ID 9133104516, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Quest Physical Therapy

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1255407193
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1679583645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392",
            "city": "WATSON",
            "state": "LA",
            "postal_code": "70786",
            "telephone_number": "225-791-7770",
            "fax_number": "225-791-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35055 LA HWY 16",
            "address_2": "STE 1C",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "70706",
            "telephone_number": "225-791-7770",
            "fax_number": "225-791-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELLIS",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "03226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmie B Hammack Ddsapdc
• Aaron Ray Johnson
• Ashlyn Johnson
• Catherine Johnson, O.D.
• Chelsea Johnson
• Gail Johnson
• Lee A Johnson
• Mykell Laray-Rena Johnson
• Robin Buratt Johnson, PHARMD
• Shanica Johnson

• Physical Therapist in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.