Active NPI
Laurie Johnson, PT
- Physical Therapist
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305003714
- Practice address
- 5665 Lowery Rd
#300
Norfolk, VA 23502-2220 - Phone
- (757) 351-6020
- Fax
- (757) 351-6021
- NPI assigned
- Nov 29, 2005
- Last updated
- Oct 22, 2010
- 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 | 2305003714 | VA | Primary |
Addresses
Primary practice location
5665 Lowery Rd
#300
Norfolk, VA 23502-2220
Mailing address
PO Box 5982
Virginia Beach, VA 23471-0982
Phone (757) 351-6020
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008938741 | Medicaid | VA | |
| 010380740 | Medicaid | VA | |
| 010381207 | Medicaid | VA | |
| 010381223 | Medicaid | VA | |
| 010380758 | Medicaid | VA | |
| 010380766 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Massachusetts Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
637 Kingsborough SQ
Suite F
Chesapeake, VA 23320-4944
Phone (757) 547-7554
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.99 of 100
- Quality
- 66.22
- Improvement activities
- 40
- Cost
- 55.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305003714 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Therapy Network Inc | Physical Therapist | Current | Accepting new patients |
| Center for Work Recovery | Physical Therapist | Past | Accepting new patients |
| Walko Enterprise Incorporated | Past | Accepting new patients |
Locations
637 Kingsborough Sq
Ste F
Chesapeake, VA 23320
Phone (757) 547-7554
5665 Lowery Rd
Ste 300
Norfolk, VA 23502
Phone (757) 351-6020
1444 Kempsville Rd
Virginia Beach, VA 23464
Phone (757) 474-7490
1450 Kempsville Rd
Ste 102
Virginia Beach, VA 23464
Phone (757) 455-8300
762 Independence Blvd
Ste 772
Virginia Beach, VA 23455
Phone (757) 456-2032
Organizations & group practices 3
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.
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1760467021
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1215380290
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Virginia Beach, VA
- NPI 1437555083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1720061351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5982",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234710982",
"telephone_number": "757-351-6020",
"fax_number": "757-351-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5665 LOWERY RD",
"address_2": "#300",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022220",
"telephone_number": "757-351-6020",
"fax_number": "757-351-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LAURIE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305003714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008938741",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010380740",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010381207",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010381223",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010380758",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010380766",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.