Dana Ellyn Johnson, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

070-018070 Issued in IL

Practice address

2400 47TH Ave
Rock Island, IL 61201-6964

Phone

(715) 255-2772

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1942240692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 47TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612016964",
            "telephone_number": "715-255-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 47TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612016964",
            "telephone_number": "715-255-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANA",
        "middle_name": "ELLYN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IA",
            "license": "02120",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070-018070",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WI",
            "license": "11006-24",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0129630",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F232191",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "16843",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire E Jeffers
• Jeffrey F Fullenkamp DO LTD
• Joanne a Michaelson MD
• John C Hendricks MD SC
• Anitra Johnson, RN
• Quinn Cameron Johnson, RN
• Margaret Jones-Meersman, DPT
• Brandon Jones
• Bruce Jones, MD
• Stephanie Kaye Jones

• Pediatric Physical Therapist in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.