Kevin Koehler Johnson, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5050 Issued in WA

Practice address

1502 8TH Ave
Brooklyn, NY 11215-5602

Phone

(718) 768-0002

NPI assigned

Sep 30, 2005

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992792436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155904",
            "telephone_number": "347-385-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155602",
            "telephone_number": "718-768-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEVIN",
        "middle_name": "KOEHLER",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "5050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A. Johnson
• Karen Faith Johnson
• Karen Lynn Johnson
• Kay L Johnson, LPN
• Kenyetta Annette Johnson, HIV COUNSELOR
• Kianni Johnson, LMHC
• Kim-Marie Johnson, SPECIAL EDU MS
• Kima Lititia Johnson, M.S.CCC-SLP
• Kimberly Johnson, NP
• Kimberly Johnson, TSHH

• Orthopedic Physical Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.