Individual provider Active NPI

Johnna W Covey, PT

  • Physical Therapist
  • Watertown, NY
National Provider Identifier
1861447567
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023846 Issued in NY
Practice address
316 Sherman St
Watertown, NY 13601-3614
Phone
(315) 786-0655
Fax
(315) 786-7993
NPI assigned
May 23, 2006
Last updated
May 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 023846 NY Primary

Addresses

Primary practice location

316 Sherman St
Watertown, NY 13601-3614

Mailing address

316 Sherman St
Watertown, NY 13601-3614
Phone (315) 786-0655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050722000794 NY Practitioner - Physical Therapist in Private Practice 4789611559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Physical Therapy Solutions PCGroup PAC ID 5698728004, 3 clinicians

Practice addresses (Care Compare)

315 Sherman St
Watertown, NY 13601-3614

316 Sherman St
Watertown, NY 13601-3614
Phone (315) 786-0655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023846NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physical Therapy Solutions PC Physical Therapist CurrentSince Jul 1, 2005 Accepting new patients

Locations

316 Sherman St
Watertown, NY 13601
Phone (315) 786-0655

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1861447567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SHERMAN ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013614",
            "telephone_number": "315-786-0655",
            "fax_number": "315-786-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 SHERMAN ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013614",
            "telephone_number": "315-786-0655",
            "fax_number": "315-786-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVEY",
        "first_name": "JOHNNA",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.