Organization Active NPI

Kondition LLC

  • Physical Medicine & Rehabilitation Physician
  • Tumwater, WA
National Provider Identifier
1942811153
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
KONDITION LLC
Practice address
344 Cleveland Ave SE Ste C
Tumwater, WA 98501-3342
Phone
(360) 464-7940
Fax
(360) 362-8749
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Authorized official

Name
Shana Johnson, MD
Title
Owner
Phone
(360) 464-7940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

344 Cleveland Ave SE Ste C
Tumwater, WA 98501-3342

Mailing address

344 Cleveland Ave SE Ste C
Tumwater, WA 98501-3342
Phone (360) 464-7940

Other practice location 1

530 Lilly Rd SE Ste 102
Olympia, WA 98501-2105
Phone (425) 502-5253

Other names 1

  • AskDrShana Doing business as

National Provider Directory

National Provider Directory

Locations

530 Lilly Rd SE
Ste 102
Olympia, WA 98501
Phone (360) 464-7940

344 Cleveland Ave SE
Ste C
Tumwater, WA 98501
Phone (360) 464-7940

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1942811153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 CLEVELAND AVE SE STE C",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013342",
            "telephone_number": "360-464-7940",
            "fax_number": "360-362-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 CLEVELAND AVE SE STE C",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013342",
            "telephone_number": "360-464-7940",
            "fax_number": "360-362-8749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Lilly Rd SE Ste 102",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985012105",
            "country_code": "US",
            "telephone_number": "425-502-5253",
            "fax_number": "360-362-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KONDITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-464-7940",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AskDrShana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.