Kristyn Leigh Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

7586 Issued in TN

Practice address

970 E Emory Rd
Knoxville, TN 37938-4617

Phone

(865) 947-6622

Fax

(865) 947-6624

NPI assigned

Oct 9, 2020

Last updated

Oct 9, 2020By the provider in NPPES

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Max Potential Rehab, LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1588097034
  NPD

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1760089098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 E EMORY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379384617",
            "telephone_number": "865-947-6622",
            "fax_number": "865-947-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 E EMORY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379384617",
            "telephone_number": "865-947-6622",
            "fax_number": "865-947-6624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11201 W Point Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379342834",
            "country_code": "US",
            "telephone_number": "865-392-6001",
            "fax_number": "865-392-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTYN",
        "middle_name": "LEIGH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "7586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Nicole Johnson
• Kellye S Johnson, CRNA
• Kelsey Johnson, M.ED
• Kevin Johnson
• Kimberly Sanders Johnson, PA
• Kynslee Nicole Johnson
• Landon Mark Johnson, PHARMD
• Lauren E Johnson, CRNA
• Lauren Elaine Johnson
• Lauren Vannoy Johnson, NP

• Physical Therapy Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.