Active NPI
Elsa Johnson, DPT
- Physical Therapist
- Broomfield, CO
National Provider Identifier
1902387111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0015883
- Practice address
- 12975 Sheridan Blvd
Broomfield, CO 80020-1477 - Phone
- (303) 785-5800
- NPI assigned
- Aug 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | PTL.0015883 | CO | Primary |
Addresses
Primary practice location
12975 Sheridan Blvd
Broomfield, CO 80020-1477
Mailing address
8000 Uptown Ave Apt 2099
Broomfield, CO 80021-4808
Phone (321) 684-3599
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 |
|---|---|---|---|
| PTL.0015883 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535155200000",
"number": "1902387111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 UPTOWN AVE APT 2099",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800214808",
"telephone_number": "321-684-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12975 SHERIDAN BLVD",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800201477",
"telephone_number": "303-785-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ELSA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-25",
"last_updated": "2018-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0015883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.