Active NPI
Mary Eileen Johnson, PT
- Physical Therapist
- Santa Barbara, CA
National Provider Identifier
1841403573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 7441
- Practice address
- University of California
Student Health Service
Santa Barbara, CA 93106-7002 - Phone
- (805) 893-3193
- Fax
- (805) 893-3861
- NPI assigned
- May 8, 2007
- 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 | PT 7441 | CA | Primary |
Addresses
Primary practice location
University of California
Student Health Service
Santa Barbara, CA 93106-7002
Mailing address
2900 San Marcos Pass
Santa Barbara, CA 93105-9724
Phone (805) 964-8559
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 7441 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841403573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 SAN MARCOS PASS",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931059724",
"telephone_number": "805-964-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF CALIFORNIA",
"address_2": "STUDENT HEALTH SERVICE",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931067002",
"telephone_number": "805-893-3193",
"fax_number": "805-893-3861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARY",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 7441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- 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.