Active NPI
Jumaah Ingram Johnson, DPT
- Specialist
- Philadelphia, PA
National Provider Identifier
1891764213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT017980
- Practice address
- 1616 Walnut St
Suite 210
Philadelphia, PA 19103-5313 - Phone
- (215) 545-8717
- Fax
- (215) 545-9355
- NPI assigned
- Mar 16, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PT017980 | PA | Primary |
Addresses
Primary practice location
1616 Walnut St
Suite 210
Philadelphia, PA 19103-5313
Mailing address
420 Bainbridge St
Philadelphia, PA 19147-1568
Phone (215) 629-1270
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017980 | PA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy Institute,PA | Past | Accepting new patients | |
| Orthopedic and Sports Physical Therapy Services, Inc. | Past | Accepting new patients | |
| Orthopedic and Sports Physical Therapy Services, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1588661235
-
- Physical Therapist
- Philadelphia, PA
- NPI 1750331864
-
- Physical Therapist
- Flemington, NJ
- NPI 1952471112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1891764213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 BAINBRIDGE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471568",
"telephone_number": "215-629-1270",
"fax_number": "215-629-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 WALNUT ST",
"address_2": "SUITE 210",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191035313",
"telephone_number": "215-545-8717",
"fax_number": "215-545-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JUMAAH",
"middle_name": "INGRAM",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "PT017980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.