Active NPI
Pediatric Physical Therapy and Yoga
- Physical Therapy Clinic/Center
- Frederick, MD
National Provider Identifier
1982061800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PEDIATRIC PHYSICAL THERAPY AND YOGA
- Practice address
- 47 E South St
Suite 1-a
Frederick, MD 21701-5980 - Phone
- (301) 538-0847
- NPI assigned
- Jan 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Monica Johnson, DPT
- Title
- Owner/Physical Therapist
- Phone
- (301) 538-0847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | MD | Primary |
Addresses
Primary practice location
47 E South St
Suite 1-a
Frederick, MD 21701-5980
Mailing address
11325 Country Club Rd
New Market, MD 21774-6701
Phone (301) 538-0847
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453420800000",
"number": "1982061800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11325 COUNTRY CLUB RD",
"city": "NEW MARKET",
"state": "MD",
"postal_code": "217746701",
"telephone_number": "301-538-0847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 E SOUTH ST",
"address_2": "SUITE 1-A",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217015980",
"telephone_number": "301-538-0847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC PHYSICAL THERAPY AND YOGA",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-22",
"last_updated": "2016-01-22",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "301-538-0847",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.