Active NPI
Daniel Alan Johnston, P.T.A.
- Physical Therapy Assistant
- Ottumwa, IA
National Provider Identifier
1891922712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 001368
- Practice address
- 115 S Washington St
Ottumwa, IA 52501-2531 - Phone
- (641) 682-8171
- Fax
- (641) 682-9054
- NPI assigned
- Jun 18, 2009
- Last updated
- Jun 18, 2009
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 001368 | IA | Primary |
Addresses
Primary practice location
115 S Washington St
Ottumwa, IA 52501-2531
Mailing address
115 S Washington St
Ottumwa, IA 52501-2531
Phone (641) 682-8171
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-8717967 | Other | IA | IOWA GROUP TAX ID# |
| 0665349 | Medicaid | IA | |
| 20-8717967 | Other | IA | JOHN DEERE HEALTH |
| 6-6534 | Other | IA | BCBS GROUP # |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001368 | IA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245283200000",
"number": "1891922712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 S WASHINGTON ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012531",
"telephone_number": "641-682-8171",
"fax_number": "641-682-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S WASHINGTON ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012531",
"telephone_number": "641-682-8171",
"fax_number": "641-682-9054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "DANIEL",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-18",
"last_updated": "2009-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "001368",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA GROUP TAX ID#",
"identifier": "20-8717967",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0665349",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH",
"identifier": "20-8717967",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "6-6534",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ottumwa, IA
- Jefferson County Hospital (JCHC Clinic Ottumwa)
- John T. Voyles and Or Heather K. Voyles (South East Iowa Physical Therapy)
- Raegan Renee Johns, ARNP
- Madeline Paige Johnson, LMSW
- Rhonda Johnson, LMSW
- Cheryll Ann Jones, ARNP CPNP
- Kenneth Allen Jones, D.D.S.
- Kylee Regina Mari Jones, TLMHC
- Sara Lynn Jones, AGNP-C
- Jonelle Joseph, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.