Active NPI
Laurie G. Johnson, P.T.
- Physical Therapist
- Houston, TX
National Provider Identifier
1851377568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1088946
- Practice address
- 3100 Timmons LN Ste 120
Houston, TX 77027-5925 - Phone
- (713) 621-2486
- Fax
- (713) 621-2491
- NPI assigned
- Dec 15, 2005
- 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 | 1088946 | TX | Primary |
Addresses
Primary practice location
3100 Timmons LN Ste 120
Houston, TX 77027-5925
Mailing address
2030 Masters LN
Missouri City, TX 77459-4425
Phone (713) 539-7499
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83705T | Other | BLUE CROSS BLUE SHIELD | |
| 1088946 | Other | TX | STATE LIC NUMBER |
| 125544 | Other | AK | AK LIC NUMBER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliates Prime LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1851377568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 MASTERS LN",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774594425",
"telephone_number": "713-539-7499",
"fax_number": "713-621-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 TIMMONS LN STE 120",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770275925",
"telephone_number": "713-621-2486",
"fax_number": "713-621-2491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LAURIE",
"middle_name": "G.",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1088946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "83705T",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC NUMBER",
"identifier": "1088946",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AK LIC NUMBER",
"identifier": "125544",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.