Active NPI
Heather L Johnson, PT
- Physical Therapist
- Visalia, CA
National Provider Identifier
1962689018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34408
- Practice address
- 5533 W Hillsdale Ave
Suite a
Visalia, CA 93291-5138 - Phone
- (559) 733-2478
- Fax
- (559) 733-2470
- NPI assigned
- Jan 30, 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT34408 | CA | Primary |
| Ergonomics Physical Therapist | 2251E1200X | PT34408 | CA | |
| Geriatric Physical Therapist | 2251G0304X | PT34408 | CA | |
| Hand Physical Therapist | 2251H1200X | PT34408 | CA | |
| Neurology Physical Therapist | 2251N0400X | PT34408 | CA | |
| Pediatric Physical Therapist | 2251P0200X | PT34408 | CA | |
| Sports Physical Therapist | 2251S0007X | PT34408 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PT34408 | CA |
Addresses
Primary practice location
5533 W Hillsdale Ave
Suite a
Visalia, CA 93291-5138
Mailing address
613 N Quince Ave
Apartment a
Exeter, CA 93221-1069
Phone (559) 592-6870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT34408 | Other | CA | CALIFORNIA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT34408 | CA | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bacci and Glinn Physical Therapy Inc | Past | Accepting new patients | |
| Bacci and Glinn Physical Therapy Inc | Past | Accepting new patients |
Organizations & group practices 2
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 Therapy Clinic/Center
- Visalia, CA
- NPI 1083722086
-
- Physical Therapy Clinic/Center
- Hanford, CA
- NPI 1750499778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1962689018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 N QUINCE AVE",
"address_2": "APARTMENT A",
"city": "EXETER",
"state": "CA",
"postal_code": "932211069",
"telephone_number": "559-592-6870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5533 W HILLSDALE AVE",
"address_2": "SUITE A",
"city": "VISALIA",
"state": "CA",
"postal_code": "932915138",
"telephone_number": "559-733-2478",
"fax_number": "559-733-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "HEATHER",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT34408",
"primary": true
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "CA",
"license": "PT34408",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "PT34408",
"primary": false
},
{
"code": "2251H1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Hand",
"state": "CA",
"license": "PT34408",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "CA",
"license": "PT34408",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "PT34408",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "PT34408",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT34408",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA",
"identifier": "PT34408",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.