Carin Johns, DPT

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10486-024 Issued in WI

Practice address

990 Janesville St
Oregon, WI 53575-2954

Phone

(608) 835-5373

Fax

(608) 835-0373

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Simply Rehab Physical Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Oregon, WI
  • NPI 1104334283
  NPD (past) Authorized official
• Stoughton Hospital Association

  • Urgent Care Clinic/Center
  • McFarland, WI
  • NPI 1477146082
  NPD (past)
• Stoughton Hospital Association

  • Urgent Care Clinic/Center
  • Cottage Grove, WI
  • NPI 1811733066
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1912062944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 RUTLAND DUNN TOWNLINE RD",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535752254",
            "telephone_number": "608-443-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 JANESVILLE ST",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535752954",
            "telephone_number": "608-835-5373",
            "fax_number": "608-835-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "CARIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "10486-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "10486-024",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Kathleen Intrepidi, PHARMD
• Kelli Ann Jaeger, RN
• Molly Jagla
• David Gary James, O.D.
• Maxwell John, PTA
• Kristen Johnson
• Susan A Johnson, COTA
• Stephen L Kellogg, DDS
• Rick B Kleckler, RPH
• Kallie Kramer

• Skilled Nursing Facility in Oregon, WI
• Providers in Oregon, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.