Active NPI
Jamie Lynn Johnson, PT
- Physical Therapist
- Venetia, PA
National Provider Identifier
1720043326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006209
- Practice address
- 123 Scenic Ridge Dr
Venetia, PA 15367-2341 - Phone
- (724) 941-8316
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006209 | OH | Primary |
Addresses
Primary practice location
123 Scenic Ridge Dr
Venetia, PA 15367-2341
Mailing address
123 Scenic Ridge Dr
Venetia, PA 15367-2341
Phone (724) 941-8316
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT006209 | Other | OH | LICENSE |
| PT1059 | Other | WV | LICENSE |
| PT007222L | Other | PA | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006209 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Wintersville, OH
- NPI 1336394311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1720043326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SCENIC RIDGE DR",
"city": "VENETIA",
"state": "PA",
"postal_code": "153672341",
"telephone_number": "724-941-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SCENIC RIDGE DR",
"city": "VENETIA",
"state": "PA",
"postal_code": "153672341",
"telephone_number": "724-941-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JAMIE",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "006209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT006209",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT1059",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT007222L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Venetia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.