Terry Ann Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2065033 Issued in TX

Practice address

400 Kaufman St S
Mt Vernon, TX 75457-2834

Phone

(903) 270-6013

NPI assigned

Nov 7, 2011

Last updated

Nov 7, 2011By 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

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.

• Rule Pediatric Therapy Services

  • Pediatric Physical Therapist
  • Mount Vernon, TX
  • NPI 1336495324
  NPD (past)

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1770860629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713",
            "city": "MT VERNON",
            "state": "TX",
            "postal_code": "754570713",
            "telephone_number": "903-270-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 KAUFMAN ST S",
            "city": "MT VERNON",
            "state": "TX",
            "postal_code": "754572834",
            "telephone_number": "903-270-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TERRY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2065033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JHC Operations, LLC (Elara Caring)
• JHC Operations, LLC (Elara Caring)
• JHS Operations, LLC (Elara Caring)
• JMD Excelsior, LLC (Mount Vernon House)
• Diane Karen Johnson, PA
• Jordan Home Care LTD (Elara Caring)
• Jordan Home Care LTD (Elara Caring)
• KCVT Nursing Centers,Inc (The Mount Vernon House)
• Lance M Potter PLLC
• Jean Woel Latortue, MD

• Physical Therapy Assistant in Mount Vernon, TX
• Providers in Mount Vernon, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.