Active NPI
Nancy Kaye Johnson, PT, DPT
- Physical Medicine & Rehabilitation Physician
- Bay City, TX
National Provider Identifier
1992273569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1295957
- Practice address
- 104 7TH St
Bay City, TX 77414-4853 - Phone
- (979) 241-5939
- Fax
- (979) 241-3422
- NPI assigned
- Nov 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT013701 | GA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 1295957 | TX | Primary |
Addresses
Primary practice location
104 7TH St
Bay City, TX 77414-4853
Mailing address
320 CR 151
Bay City, TX 77414
Phone (979) 240-9226
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013701 | GA | MD | Physical Medicine & Rehabilitation Physician |
| 1295957 | TX | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1992273569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 CR 151",
"city": "BAY CITY",
"state": "TX",
"postal_code": "77414",
"telephone_number": "979-240-9226",
"fax_number": "979-241-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 7TH ST",
"city": "BAY CITY",
"state": "TX",
"postal_code": "774144853",
"telephone_number": "979-241-5939",
"fax_number": "979-241-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "NANCY",
"middle_name": "KAYE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-13",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "PT013701",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "1295957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.