Stephanie Marie Johnson, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

005285 Issued in KY

Practice address

2152 S Hurstbourne Pkwy
Louisville, KY 40220-1622

Phone

(502) 499-0107

Fax

(502) 499-0535

NPI assigned

Jun 6, 2008

Sex

Female

Sole proprietor

Yes

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 KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations (25 of 26)

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.

• SN Kentuckiana Rehab, LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1609349018

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Kentucky Orthopedic Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Murray, KY
  • NPI 1942948294

  Orthopedic

  Medicare reassignment NPD
• Kentucky Orthopedic Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1184625113
  NPD
• Kentucky Orthopedic Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Richmond, KY
  • NPI 1295477248
  NPD
• SN Kentuckiana Rehab, LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1821561226
  NPD

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1821257643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 S HURSTBOURNE PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201622",
            "telephone_number": "502-499-0107",
            "fax_number": "502-499-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 S HURSTBOURNE PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201622",
            "telephone_number": "502-499-0107",
            "fax_number": "502-499-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IN",
            "license": "05013704A",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KY",
            "license": "005285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Polly Johnson, DMD
• Shawna Johnson, RN-BSN
• Sonjequita Johnson, MSW, CSW
• Sophia Johnson, COTA
• Stephanie M Johnson, APRN
• Stephanie Monique Johnson
• Stephen Kennedy Johnson, M.D., PH.D.
• Sydney Elizabeth Johnson
• Tabitha Johnson
• Tammy Johnson, APRN

• Orthopedic Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Orthopedic Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.