Susan Jean Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07011922 Issued in IL

Practice address

330 Division Dr Ste B&E
Sugar Grove, IL 60554-9800

Phone

(630) 777-3141

Fax

(630) 777-3142

NPI assigned

May 15, 2006

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Attentive Individualized Management Physical Therapy, LLCGroup PAC ID 5395091581, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Attentive Individualized Management Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Sugar Grove, IL
  • NPI 1497244859

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1821049628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 EBONY DR",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "60543",
            "telephone_number": "630-466-5866",
            "fax_number": "630-466-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 DIVISION DR STE B&E",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549800",
            "telephone_number": "630-777-3141",
            "fax_number": "630-777-3142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 S Main St",
            "address_purpose": "LOCATION",
            "city": "Sugar Grove",
            "state": "IL",
            "postal_code": "605545031",
            "country_code": "US",
            "telephone_number": "630-466-5866",
            "fax_number": "630-466-5869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUSAN",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "07011922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna L. Hoole, APN-CNP
• Dawn Hyatt, PHARMD
• Jamble, LLC
• Karla Rae Jebens-Mills, DVM
• Brittany Ann Johnsen, RD
• Melissa Ann Joseph, LCSW
• Joshua L. Korsgarden, O.D., LTD.
• Kaleidoscope Clinical Counseling, PLLC
• Joseph S. Kim, D.D.S.
• Sara Suzanne Kim

• Physical Therapist in Sugar Grove, IL
• Providers in Sugar Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.