Individual provider Active NPI

Mili Stojkovic Johnson, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1780873281
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011590 Issued in NY
Practice address
2109 Broadway
Suite 204
New York, NY 10023-2106
Phone
(212) 799-0160
Fax
(212) 799-0209
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011590 NY Primary

Addresses

Primary practice location

2109 Broadway
Suite 204
New York, NY 10023-2106

Mailing address

255 W 94TH St
Apt. 20K
New York, NY 10025-6999
Phone (212) 531-1623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011590NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1780873281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W 94TH ST",
            "address_2": "APT. 20K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256999",
            "telephone_number": "212-531-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 BROADWAY",
            "address_2": "SUITE 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232106",
            "telephone_number": "212-799-0160",
            "fax_number": "212-799-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOJKOVIC JOHNSON",
        "first_name": "MILI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.