Active NPI
Stephanie J Johnson, RPT
- Physical Therapist
- Madison, AL
National Provider Identifier
1841200656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH3076
- Practice address
- 3825 Sullivan St Ste 4
Madison, AL 35758 - Phone
- (256) 325-5400
- Fax
- (256) 325-5469
- NPI assigned
- Aug 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH3076 | AL | Primary |
Addresses
Primary practice location
3825 Sullivan St Ste 4
Madison, AL 35758
Mailing address
PO Box 2138
Madison, AL 35758-5416
Phone (256) 325-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051531707 | Other | AL | BLUE CROSS&BLUE SHIELD |
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 |
|---|---|---|---|
| PTH3076 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1841200656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2138",
"city": "MADISON",
"state": "AL",
"postal_code": "357585416",
"telephone_number": "256-325-5400",
"fax_number": "256-325-5469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 SULLIVAN ST STE 4",
"city": "MADISON",
"state": "AL",
"postal_code": "35758",
"telephone_number": "256-325-5400",
"fax_number": "256-325-5469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "STEPHANIE",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH3076",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS&BLUE SHIELD",
"identifier": "051531707",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.