Liberty Johnson

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4989 Issued in MN

Practice address

1511 Highway 59 S Ste a
Thief River Falls, MN 56701-3413

Phone

(218) 681-0449

NPI assigned

Jun 10, 2022

Last updated

Jun 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Rehabauthority, LLC

  • Multi-Specialty Clinic/Center
  • Grand Forks, ND
  • NPI 1730159690
  NPD

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1922737246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 HIGHWAY 59 S STE A",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567013413",
            "telephone_number": "218-681-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 HIGHWAY 59 S STE A",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567013413",
            "telephone_number": "218-681-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LIBERTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MN",
            "license": "4989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jgsteinhauer PLLC (Clarity Mental Health)
• Ann Johnson, LP
• Carol Johnson, BS, LSW
• Cole Daniel Johnson, DDS
• Jenae Mayre Johnson
• Nowell Johnson, FNP-C
• Rozlynn O'Lee Johnsrud
• Danielle Alene Jordan, PH.D., L.P.
• Andrea Marie Jorgenson, CNP
• Katherine Joseph, MD

• Physical Medicine & Rehabilitation Physician in Thief River Falls, MN
• Providers in Thief River Falls, MN by specialty
• Physical Medicine & Rehabilitation Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.