Joel M Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00002862 Issued in WA

Practice address

4361 Talbot Rd So
Ste 100
Renton, WA 98055

Phone

(425) 917-9885

Fax

(425) 917-2334

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Therapy Management Services, PLLC

  dba Auburn Sports & Spine Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Auburn, WA
  • NPI 1295291748

  Physical Therapist

  NPD
• Therapy Management Services, PLLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1710330378
  NPD
• Lakeland Sports & Spine Physical Therapy

  • Physical Therapy Clinic/Center
  • Auburn, WA
  • NPI 1194857250
  NPD (past)
• Therapy Management Services, PLLC

  • Physical Therapist
  • Burien, WA
  • NPI 1780037689
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811060502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4361 TALBOT RD SO",
            "address_2": "STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98055",
            "telephone_number": "425-917-9885",
            "fax_number": "425-917-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 TALBOT RD SO",
            "address_2": "STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98055",
            "telephone_number": "425-917-9885",
            "fax_number": "425-917-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOEL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8351397",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "5324JO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L & I",
            "identifier": "147035",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Johnson, PHARMACY TECHNICIAN
• Christopher Johnson
• Courtney Lois Johnson, PA-C
• Erica Leilani Johnson, APRN
• Jalene L Johnson, LMP
• Kayla Johnson
• Kimberly Johnson, MA
• Lucy Johnson, ATC
• Patricia D Johnson, MA
• Peder Johnson, MD

• Physical Therapist in Renton, WA
• Providers in Renton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.