Individual provider Active NPI

Karna K. Johnson, MS, PT

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1922196450
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1674 Issued in MT
Practice address
612 E Main St
Suite C
Bozeman, MT 59715-3719
Phone
(406) 522-3722
Fax
(406) 522-0018
NPI assigned
Oct 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1674 MT Primary

Addresses

Primary practice location

612 E Main St
Suite C
Bozeman, MT 59715-3719

Mailing address

218 S Park Ave
Belgrade, MT 59714-3839
Phone (406) 388-6388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041211000126 MT Practitioner - Physical Therapist in Private Practice 8224095260 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1674MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Root Therapy and Wellness Physical Therapist CurrentSince Jul 15, 2023 Accepting new patients
Epicenter Therapy Services PLLC Physical Therapist Past Accepting new patients
Spinerx Scoliosis and Spine Rehab, LLC Physical Therapist PastSince Jul 15, 2023 Accepting new patients

Locations

2411 W Main St
Ste 2
Bozeman, MT 59718
Phone (406) 219-5388

612 W Griffin Dr
Ste A
Bozeman, MT 59715
Phone (406) 219-5388

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922196450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S PARK AVE",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597143839",
            "telephone_number": "406-388-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E MAIN ST",
            "address_2": "SUITE C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153719",
            "telephone_number": "406-522-3722",
            "fax_number": "406-522-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KARNA",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.