Active NPI
Kimberly Johnston, PT, DPT
- Physical Therapist
- Houston, TX
National Provider Identifier
1942630033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1237631
- Practice address
- 2158 Portsmouth St
Houston, TX 77098-4057 - Phone
- (713) 529-4990
- Fax
- (713) 523-2452
- NPI assigned
- Nov 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 1237631 | TX | Primary |
Addresses
Primary practice location
2158 Portsmouth St
Houston, TX 77098-4057
Mailing address
2158 Portsmouth St
Houston, TX 77098-4057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5009 | OK | MD | Pharmacy Technician |
| 1237631 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Intermountain Medical Group Denver, LLC | Current | Accepting new patients | |
| Select Physical Therapy Texas Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Locations
500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790
501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782
8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100
Organizations & group practices 6
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
- Denver, CO
- NPI 1891461125
-
- Family Medicine Physician
- Denver, CO
- NPI 1083021083
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1083598874
-
- Cardiovascular Disease Physician
- Denver, CO
- NPI 1588325526
-
- Physical Therapy Clinic/Center
- Tomball, TX
- NPI 1770254179
Physical Therapist
-
- Rehabilitation Clinic/Center
- Oklahoma City, OK
- NPI 1386605905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1942630033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2158 PORTSMOUTH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770984057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2158 PORTSMOUTH ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770984057",
"telephone_number": "713-529-4990",
"fax_number": "713-523-2452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "KIMBERLY",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-26",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1237631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.