Rhonda J Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4406 Issued in MN

Practice address

1204 Cloquet Ave
Cloquet, MN 55720-1622

Phone

(218) 878-0805

NPI assigned

Mar 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park Avenue TherapiesGroup PAC ID 2264413467, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Park Avenue Therapies

  • Physical Therapist
  • Cloquet, MN
  • NPI 1437127834
  Medicare reassignment Care Compare group NPD Authorized official
• Park Avenue Therapies Inc

  • Physical Therapy Clinic/Center
  • Cloquet, MN
  • NPI 1750631982
  NPD

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1861452724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201622",
            "telephone_number": "218-878-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 CLOQUET AVE",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201622",
            "telephone_number": "218-878-0805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5704 Miller Trunk Hwy",
            "address_purpose": "LOCATION",
            "city": "Hermantown",
            "state": "MN",
            "postal_code": "558111238",
            "country_code": "US",
            "telephone_number": "218-878-0805",
            "fax_number": "218-878-0794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RHONDA",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "4406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806518700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00171701",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Jennissen, ADC-T
• Margarita York Jesme, DNP, APRN, FNP-C
• Jeffrey James Johnson, DDS
• Karen Marie Johnson, PT
• Kristy Johnson, LADC
• Robert Alexander Johnson, DMD
• Timothy Johnson
• Tina Marie Johnson
• Joie Ann Miletich (Counseling Center)
• Katie Mae Jorgensen, FNP

• Physical Therapist in Cloquet, MN
• Providers in Cloquet, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.