Elyse Johnson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP-732 Issued in WY

Practice address

455 Thelma Dr
Casper, WY 82609-2324

Phone

(307) 472-3327

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

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 and National Provider Directory roles.

• Optimal Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Casper, WY
  • NPI 1962894451
  Medicare reassignment NPD
• Central Wyoming Therapy, LLC

  • Physical Therapy Clinic/Center
  • Casper, WY
  • NPI 1528236874
  NPD (past)
• Optimal Physical Therapy, LLC

  • Clinical Social Worker
  • Casper, WY
  • NPI 1063340891
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1790848802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 S POPLAR ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826016104",
            "telephone_number": "307-333-2873",
            "fax_number": "307-333-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 THELMA DR",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092324",
            "telephone_number": "307-472-3327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELYSE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2853",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexia Lein Johnson, RRT
• Beth Johnson, CCMA
• Callie J Johnson, PT, DPT
• Carol Ann Johnson
• Chellsie D Johnson, M.ED, ATC
• Jaclyn Kristin Johnson, LPN
• Jennifer Johnson
• Jungsook Sue Johnson, MD
• Keli J. Johnson
• Kimberly T. Johnson, R.PH.

• Speech-Language Pathologist in Casper, WY
• Providers in Casper, WY by specialty
• Speech-Language Pathologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.