Pearl Teresa Johnson-Vann, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2305003957 Issued in VA

Practice address

407 Church St NE Ste D
Vienna, VA 22180-4737

Phone

(703) 242-1921

Fax

(703) 242-1922

NPI assigned

Mar 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Terry Johnson-Vann Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Deborah Abdow-Addis Dba Pediatric Physical Therapy Services

  • Physical Therapist
  • Vienna, VA
  • NPI 1831263623
  NPD (past)
• Pat Leach, Otr/L

  • Pediatric Occupational Therapist
  • Vienna, VA
  • NPI 1649353483
  NPD (past)

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871622100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 OLIVE BRANCH DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044907",
            "telephone_number": "301-890-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CHURCH ST NE STE D",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804737",
            "telephone_number": "703-242-1921",
            "fax_number": "703-242-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-VANN",
        "first_name": "PEARL",
        "middle_name": "TERESA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305003957",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "16351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRY",
            "last_name": "JOHNSON-VANN",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jesus Heart Home Health Care Agency, Inc.
• Jill'S House Inc
• Lily Jo
• Micha Joffee, M.D.
• Wynston Johnson-Lyman, RBT
• Alayjah Johnson
• Cynthia Malia Johnson
• Daija Johnson
• Erika Johnson, MS, RD, CSR
• Kathryn Johnson, DPT

• Pediatric Physical Therapist in Vienna, VA
• Providers in Vienna, VA by specialty
• Pediatric Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.