Tammy W Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0017859 Issued in CO

Practice address

2015 Vaughn Rd NW
Ste 130
Kennesaw, GA 30144-7801

Phone

(770) 425-6661

Fax

(770) 425-1189

NPI assigned

Feb 5, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Altitude Physical Therapy & Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1548218241

  Physical Therapist

  NPD
• Comprehensive Therapy Consultants,Inc

  • Speech-Language Pathologist
  • Kennesaw, GA
  • NPI 1932275146
  NPD (past)
• Altitude Physical Therapy & Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Longmont, CO
  • NPI 1235729567
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1740329994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 ALPINE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043305",
            "telephone_number": "303-444-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 VAUGHN RD NW",
            "address_2": "STE 130",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447801",
            "telephone_number": "770-425-6661",
            "fax_number": "770-425-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMMY",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elizabeth Johnson
• Kimberly Noel Johnson
• Millini Johnette Johnson, LPC
• Rebecca Johnson, LPC, NCC
• Talia Breale Johnson
• William Albert Johnson III
• Jennifer Beasley Johnston, NP-C
• Glenn J. Jonas, M.D.
• Jonathan Woolfson MD, PC
• Lolita Jones-Johnson

• Physical Therapist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.