MRS. ELISABETH COURTENAY JOHNSON (NPI# 1154673036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154673036 |
Entity Type | Individual |
Full Name | MRS. ELISABETH COURTENAY JOHNSON |
Credential | P.T. |
Practice Address |
1712 South 17th Street Tacoma WA 98405 |
Mailing Address |
P.o. Box 1357 Tacoma WA 98401-1357 |
Practice Telephone | 2535714500 |
Mailing Telephone | 2535714500 |
Enumeration Date | 2012-10-03 |
Last Update Date | 2012-10-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT 00007717 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | TPS EMPLOYEE ID | 18667 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114236445 | Elisabeth B Johnson | Physical Therapist | 9227 Club Glen Dr, Dallas, TX 75243-6322 | 2010-10-05 |
1336591254 | Elisabeth Anna Johnson | Behavioral Analyst | 6656 Holt Rd, Nashville, TN 37211-6906 | 2016-07-02 |
1841577574 | Elisabeth L Johnson | Day Training/Habilitation Specialist | 413 W Tyler Ave, West Memphis, AR 72301-4149 | 2011-11-09 |
1083995567 | Elisabeth B Johnson | Pharmacist | 5 Pierce St, Greenfield, MA 01301-1928 | 2011-08-29 |
1912069121 | Elisabeth A Johnson | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2006-12-14 |
Street Address |
1712 SOUTH 17TH STREET |
City | TACOMA |
State | WA |
Zip Code | 98405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
Find all providers in zip 98405 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952760175 | Sharon Worden | Physical Therapist | 5005 Main St Apt 812, Tacoma, WA 98407-3166 | 2016-02-16 |
1477803245 | Christine Harenberg | Physical Therapist | 4330 N Visscher St, Tacoma, WA 98407-1916 | 2012-09-19 |
1235313305 | Robert Arndt Winchell Jr. | Physical Therapist | 601 S. 8th St, Tacoma, WA 98405 | 2007-12-24 |
1679634653 | Juanita Louise Nirider | Physical Therapist | 4518 48 St Ct E, Tacoma, WA 98443-2568 | 2006-12-13 |
1568522068 | Eileen M Jones | Physical Therapist | 9503 19th Ave E, Tacoma, WA 98445-5557 | 2006-12-12 |
1588900823 | Katherine Jayne Mckamey | Physical Therapist | 8601 E B St, Tacoma, WA 98445-2227 | 2012-12-13 |
1609126432 | Janet Jean Quesada | Physical Therapist | 601 S 8th St, Tacoma, WA 98405-4614 | 2012-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003421280 | Nattika Detskultorn | Physical Therapist | 1301 4th Ave Nw Ste 100, Issaquah, WA 98027-9371 | 2020-09-14 |
1730704883 | The Mama and Baby Mobility Project | Physical Therapist | 2510 164th St Sw Apt E107, Lynnwood, WA 98087-7836 | 2020-06-15 |
1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
1659854784 | Brady Glenn Christoph | Physical Therapist | Auburn School District, 29205 132nd Ave Se, Auburn, WA 98092 | 2018-09-14 |
1619378643 | Angela Fritz | Physical Therapist | 2411 42nd Ave E, 177 G, Seattle, WA 98112-2547 | 2014-09-09 |
1053751669 | Katie Buck | Physical Therapist | 3801 Kern Road, Yakima, WA 98902-6340 | 2013-06-27 |
1063753846 | Christen L Davidson-juhnke | Physical Therapist | 1384 Havstad Dr, Walla Walla, WA 99362-9235 | 2013-03-04 |
1083950455 | Lalani Shelton | Physical Therapist | 1000 Lake Park Dr Sw, Tumwater, WA 98512-6912 | 2012-12-12 |
1568715209 | Janis Kathrein | Physical Therapist | 17119 Se 351st St, Auburn, WA 98092-3906 | 2012-10-18 |
1548511421 | Martha Abrego | Physical Therapist | 17077 Meridian Ave. N, Shoreline, WA 98133 | 2012-10-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.