Tiffany M Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH5807 Issued in AL

Practice address

540 Hughes Rd
Suite 8
Madison, AL 35758-8999

Phone

(256) 461-9654

Fax

(256) 461-9728

NPI assigned

Sep 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1992039770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 ENTERPRISE WAY NW STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064472",
            "telephone_number": "256-713-1872",
            "fax_number": "256-713-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 HUGHES RD",
            "address_2": "SUITE 8",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588999",
            "telephone_number": "256-461-9654",
            "fax_number": "256-461-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8499",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH5807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51109605",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051112329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Louis Johnson
• Stephanie J Johnson, RPT
• Steven E Johnson, M.D.
• Sydney Grace Johnson, CAA
• Tiffany Lawrence Johnson, CRNP
• Johnson'S Functional Village, LLC
• Tina K Jones-Davis, LCSW
• Amorita Jones, DPT
• Arrie Jones
• Atyah Lajoy Jones, RN, BSN

• Physical Therapist in Madison, AL
• Providers in Madison, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.