Jonah Mason Johnson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10214 Issued in LA

Practice address

701 Robley Dr Ste 135
Lafayette, LA 70503-5223

Phone

(337) 991-0102

Fax

(337) 991-0032

NPI assigned

Feb 21, 2019

Last updated

Feb 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unlock Physical Therapy LLCGroup PAC ID 4688905615, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Unlock Physical Therapy LLC

  • Physical Therapist
  • Lafayette, LA
  • NPI 1700446846
  Medicare reassignment Care Compare group NPD
• Breaux Bridge Physical Therapy and Wellness LLC

  dba Breaux Bridge Physical Therapy and Wellness

  • Physical Therapist
  • Breaux Bridge, LA
  • NPI 1790441061
  Medicare reassignment NPD

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1932666419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ROBLEY DR STE 135",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035223",
            "telephone_number": "337-991-0102",
            "fax_number": "337-991-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ROBLEY DR STE 135",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035223",
            "telephone_number": "337-991-0102",
            "fax_number": "337-991-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JONAH",
        "middle_name": "MASON",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE NUMBER",
            "identifier": "10214",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essence M Johnson
• Halie Elizabeth Johnson, BCBA
• Jacob Reece Johnson, DDS, MS
• Jasmine Renee' Johnson, MS, PLPC
• Jeffrey Lewis Johnson, CRNA
• Kelsey Johnson
• Kendra Johnson
• Latoya Johnson
• Leigh Ann Johnson
• Lounida Johnson, FNP

• Physical Therapist in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.