Jordyn Catherine Johnson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5155 Issued in AR

Practice address

10825 Kanis Rd Ste 300
Little Rock, AR 72211-3802

Phone

(501) 420-3884

NPI assigned

Aug 9, 2022

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

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arkansas Pelvic Health PLLCGroup PAC ID 6002235421, 15 clinicians

Practice addresses (Care Compare)

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.

• Arkansas Pelvic Health PLLC

  • Physical Therapist
  • Little Rock, AR
  • NPI 1346877214
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1972231900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10825 KANIS RD STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10825 KANIS RD STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113802",
            "telephone_number": "501-420-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JORDYN",
        "middle_name": "CATHERINE",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayvian Johnson
• Jeremy Johnson
• Jerrell Jerome Johnson, PHARMD
• Jessica Joann Johnson, FNP - BC
• Jill Johnson, PHARM.D.
• Judy White Johnson, PH.D.
• Justin Baily Johnson, M.S. CF-SLP
• Justin Dewayne Johnson
• Kaitlyn Johnson, LMSW
• Kathleen McElduff Johnson, M.S.,CCC-SLP

• Physical Therapist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.