SHELLY LYNN JOHNSON (NPI# 1295237279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295237279 |
| Entity Type | Individual |
| Full Name | SHELLY LYNN JOHNSON |
| Practice Address |
2799 W Grand Blvd Detroit MI 48202-2608 |
| Practice Telephone | 3139161128 |
| Mailing Telephone | 3139161128 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501008095 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124507702 | Shelly Johnson | Technician | 27 O St Nw Apt 326, Washington, DC 20001-2383 | 2018-08-14 |
| 1326455510 | Shelly Mae Johnson | Counselor | 113 S Beech St, Bryan, OH 43506-1602 | 2014-07-19 |
| 1295033587 | Shelly Ilene Johnson | Behavioral Analyst | 21905 S Finley Rd, Kennewick, WA 99337-8733 | 2011-03-10 |
| 1750684098 | Shelly Johnson | Counselor | 3301 Cheek Pl, Del City, OK 73115-1627 | 2010-12-08 |
| 1386702736 | Shelly Nicole Johnson | Counselor | 70 Maranatha Drive, Fairmont, WV 26554 | 2006-12-05 |
| 1114497468 | Shelly Johnson | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2018-11-29 |
| 1992244800 | Shelly Johnson | Nurse Practitioner | 7001 Rogers Ave, Suite 401, Fort Smith, AR 72903-4073 | 2017-02-13 |
| 1710343728 | Shelly Johnson | Social Worker | 7809 Airline Dr Ste 210, Metairie, LA 70003-6440 | 2016-01-06 |
| 1528461365 | Shelly Johnson | Physical Therapy Assistant | 25 W Pleasant St, Springfield, OH 45506-2278 | 2014-10-08 |
| 1508143751 | Shelly Johnson | Pharmacist | 5190 W 120th Ave, Westminster, CO 80020-3332 | 2011-11-15 |
| Street Address |
2799 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132069 | Donna Prince | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2005-05-24 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1255932430 | Amy Katlyn Carion | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-04 | |
| 1871194415 | Alexandria Denise Roberts | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-11-02 |
| 1174121420 | John Charles Sanno | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-10-09 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1922615145 | Chelsea Elizabeth Owen | Nurse Anesthetist, Certified Registered | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1275130395 | Zana Latkovac | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1932713237 | Lucas Costa Santos | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881228054 | Madison Marie Vanantwerp | Physical Therapist | 293 E Palmer St, Detroit, MI 48202-3823 | 2020-02-26 |
| 1285271171 | Be Well Rehabilitation, LLC | Physical Therapist | 20569 Pierson St, Detroit, MI 48219-1354 | 2019-12-10 |
| 1902370919 | Athletico Ltd | Physical Therapist | 200 Renaissance Ctr Ste 1202, Detroit, MI 48243-1300 | 2019-01-14 |
| 1417432204 | Raymond Lee Fair | Physical Therapist | 16151 James Couzens Fwy, Detroit, MI 48221-2821 | 2018-09-27 |
| 1437642600 | Francine D Burgess | Physical Therapist | 2025 Orleans St, Detroit, MI 48207-2738 | 2018-06-12 |
| 1710470109 | Jason Carlo Roberts | Physical Therapist | 261 Mack, Detroit, MI 48201 | 2018-06-11 |
| 1952893851 | Julie Conley | Physical Therapist | 17330 Schaefer Hwy, Detroit, MI 48235-4133 | 2018-06-06 |
| 1831691302 | Adele Myszenski | Physical Therapist | 2799 West Grand Boulevard A Basement, Detroit, MI 48202 | 2018-03-01 |
| 1982036257 | Paul Francis Hartmann | Physical Therapist | 434 W Alexandrine St, #206, Detroit, MI 48201-1754 | 2013-08-08 |
| 1851734297 | Vishnu Kodumuru | Physical Therapist | 815 W Grand Blvd, Detroit, MI 48216-1056 | 2013-04-16 |
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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.