WENDY E JOHNSON (NPI# 1932415254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932415254 |
| Entity Type | Individual |
| Full Name | WENDY E JOHNSON |
| Other Name | WENDY BACON-FULKERSON |
| Credential | DPT |
| Practice Address |
2170 W Ironwood Center Dr Ste B Coeur D Alene ID 83814-2606 |
| Mailing Address |
Po Box 3482 Post Falls ID 83877-3482 |
| Practice Telephone | 2086671988 |
| Practice Fax Number | 2087655654 |
| Mailing Telephone | (208) 209-6170 |
| Mailing Fax Number | 2082096169 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT60387980 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | PT3169 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12615 E Mission Ave Ste 109, Spokane Valley, WA 992161047 | 5098912623 | 5098912624 |
| 8238 N Government Way, Hayden, ID 838355034 | 2087622100 | 2087622101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790146306 | Wendy Johnson | Registered Nurse | 26 Vinnie St, Jamestown, NY 14701-7327 | 2016-03-09 |
| 1699033845 | Wendy Gertrude Johnson | Pediatrics | 728 North Main Street, Spring Valley, NY 10977 | 2012-04-25 |
| 1669740106 | Wendy Woods Johnson | Physical Therapist | 1310 Alford Ave Ste 102, Hoover, AL 35226-3100 | 2011-12-13 |
| 1184909186 | Wendy Anne Johnson | Behavioral Analyst | 80 Hotchkiss St, Jamestown, NY 14701-1720 | 2011-10-21 |
| 1457646812 | Wendy D Johnson | Nurse Practitioner | 2301 S Clear Creek Rd Ste 216, Killeen, TX 76549-4198 | 2011-06-14 |
| 1336455856 | Wendy Sibrey Johnson | Pharmacist | 1602 W Brandon Blvd, Brandon, FL 33511-4808 | 2010-08-21 |
| 1306085386 | Wendy Lelia Johnson | Licensed Practical Nurse | 59 Bradeen St, Roslindale, MA 02131-1814 | 2009-02-13 |
| 1194789305 | Wendy L. Johnson | Pharmacist | 1832 Memorial, Clarksville, TN 37043 | 2006-04-14 |
| 1750904694 | Wendy Johnson | Counselor | 37 Calumet Pkwy Ste 100, Newnan, GA 30263-6734 | 2020-05-27 |
| 1831719699 | Wendy Lou Johnson | Behavior Technician | 14387 Edgewood Dr, Baxter, MN 56425-8460 | 2020-04-22 |
| Street Address |
2170 W IRONWOOD CENTER DR STE B |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| 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 |
|---|---|---|---|---|
| 1437781622 | Amanda Lynn Dickinson | Physical Therapist | 411 W Haycraft Ave # Stdd1, Coeur D Alene, ID 83815-8105 | 2020-02-06 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1467920033 | Christopher Taylor | Physical Therapist | 5925 W Riverview Dr, Coeur D Alene, ID 83814-7705 | 2018-11-12 |
| 1689142192 | Canfield Pt Pllc | Physical Therapist | 402 W Canfield Ave Ste 5, Coeur D Alene, ID 83815-7784 | 2018-11-02 |
| 1265941108 | Inspire Physical Therapy Idaho Inc Ps | Physical Therapist | 1321 N Northwood Center Ct Ste B, Coeur D Alene, ID 83814-4944 | 2017-09-22 |
| 1306283049 | Tonya Carlson | Physical Therapist | 7841 N Holyoke Loop, Coeur D Alene, ID 83815-4980 | 2013-06-03 |
| 1578875076 | Linsey Anne Cahan | Physical Therapist | 411 W Haycraft Ave Ste B3, Coeur D Alene, ID 83815-8104 | 2010-07-13 |
| 1295047793 | Craig Cahan | Physical Therapist | 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815-8104 | 2010-07-13 |
| 1861649741 | Ryan Jacob Bishop | Physical Therapist | 852 W Kathleen Ave, Coeur D Alene, ID 83815-9405 | 2008-08-22 |
| 1992991665 | Lucas Pearce Hammond | Physical Therapist | 2180 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2007-09-17 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.