Active NPI
Leslie Johns, D. P. T.
- Physical Therapist
- Bowie, MD
National Provider Identifier
1821490350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26699
- Practice address
- 15500 Annapolis Rd Ste 102
Bowie, MD 20715-3039 - Phone
- (443) 481-1140
- NPI assigned
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29552 | FL | |
| Physical Therapist | 225100000X | 872000 | DC | |
| Physical Therapist | 225100000X | 26699 | MD | Primary |
Addresses
Primary practice location
15500 Annapolis Rd Ste 102
Bowie, MD 20715-3039
Mailing address
1911 Westbridge Dr Unit 358
Annapolis, MD 21401-2469
Phone (570) 875-8283
Other practice location 1
102 Irving St NW
Washington, DC 20010-2921
Phone (855) 633-0204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 624013ZRKT | Other | DC | MEDICARE |
| 624037ZR1S | Other | MD | MD MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 872000 | DC | MD | Physical Therapist |
| 29552 | FL | MD | Physical Therapist |
| 26699 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1821490350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 WESTBRIDGE DR UNIT 358",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214012469",
"telephone_number": "570-875-8283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15500 ANNAPOLIS RD STE 102",
"city": "BOWIE",
"state": "MD",
"postal_code": "207153039",
"telephone_number": "443-481-1140"
}
],
"practiceLocations": [
{
"address_1": "102 Irving St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200102921",
"country_code": "US",
"telephone_number": "855-633-0204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNS",
"first_name": "LESLIE",
"credential": "D. P. T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "29552",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "872000",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26699",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "624013ZRKT",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD MEDICARE",
"identifier": "624037ZR1S",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.