Active NPI
Theresa M Martin-Johnson, DPT
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1942459938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7031
- Practice address
- 2122 E Highland Ave
Suite 200
Phoenix, AZ 85016-4739 - Phone
- (602) 778-0900
- Fax
- (602) 778-6606
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7031 | AZ | Primary |
Addresses
Primary practice location
2122 E Highland Ave
Suite 200
Phoenix, AZ 85016-4739
Mailing address
10324 N 62ND Dr
Glendale, AZ 85302-1231
Phone (623) 979-0066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7031 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amurvel Physical Therapy Services PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Glendale, AZ
- NPI 1225090186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1942459938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10324 N 62ND DR",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853021231",
"telephone_number": "623-979-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 E HIGHLAND AVE",
"address_2": "SUITE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164739",
"telephone_number": "602-778-0900",
"fax_number": "602-778-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN-JOHNSON",
"first_name": "THERESA",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "7031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.