Jessica Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30224 Issued in AZ

Practice address

2525 S Rural Rd Ste 5S
Tempe, AZ 85282-2444

Phone

(480) 921-9000

NPI assigned

Aug 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Colorado Spine Therapy, LLC

  • Orthopedic Physical Therapist
  • Denver, CO
  • NPI 1679766984
  Medicare reassignment NPD
• Integrated Joint Specialists LLC

  • Clinic/Center
  • Tigard, OR
  • NPI 1336704071
  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1962983791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S RURAL RD STE 5S",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822444",
            "telephone_number": "480-921-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S RURAL RD STE 5S",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822444",
            "telephone_number": "480-921-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "30224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE",
            "identifier": "30224",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Johnson
• Emily Marie Johnson, M.S.ED., CCC-SLP
• Erika T Johnson, LAC
• Franchesca V Johnson, LMSW
• Jenise Johnson, LAC
• Lauren Marie Johnson
• Lisa Johnson
• Meredith Johnson
• Michael Johnson, PMHNP
• Michael Eugene Johnson, PH.D.

• Physical Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.

Verify at the official NPI Registry.