Shannon C Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3212 2ND Ave
Lake Charles, LA 70601

Phone

(337) 478-8161

NPI assigned

Jun 21, 2006

Last updated

Jun 15, 2017By 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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calcasieu Therapy Group LLCGroup PAC ID 8325270358, 3 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.

• Calcasieu Therapy Group LLC

  • Physical Therapist
  • Moss Bluff, LA
  • NPI 1487085320
  Medicare reassignment Care Compare group NPD
• Iowa Therapy Group LLC

  • Physical Therapist
  • Iowa, LA
  • NPI 1578617924
  Medicare reassignment NPD
• Southwest Louisiana Sports and Rehabilitation Center, LLC

  • Physical Therapist
  • Lake Charles, LA
  • NPI 1841357761
  Medicare reassignment NPD
• Advanced Rehab Services

  • Occupational Therapist
  • Lake Charles, LA
  • NPI 1891835682

  Physical Therapist

  NPD (past)
• Calcasieu Rehab and Sports Therapy

  • Specialist
  • Lake Charles, LA
  • NPI 1275823320
  NPD (past)
• Kinder Therapy Group, LLC

  • Physical Therapist
  • Kinder, LA
  • NPI 1912780578
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1740226471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SAM HOUSTON JONES PKWY",
            "address_2": "SUITE 103",
            "city": "MOSS BLUFF",
            "state": "LA",
            "postal_code": "70611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 2ND AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-478-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHANNON",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leroy Johnson, PHARMACIST
• Mary Johnson
• Michael Wayne Johnson
• Natalie Johnson
• Ronald Johnson, RAC
• Steven Shane Johnson
• Talissa Johnson, LPC, LMHP
• Tanika Frank Johnson, DNP
• Tawauna Johnson
• Traci L. Johnson, FNP-BC

• Physical Therapist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.