DR. KELLY ELAINE JOHNSON (NPI# 1316457260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316457260 |
| Entity Type | Individual |
| Full Name | DR. KELLY ELAINE JOHNSON |
| Credential | DPT |
| Practice Address |
2424 N Wyatt Dr # 130 Tucson AZ 85712-6115 |
| Mailing Address |
1755 Wittington Pl Ste 175 Dallas TX 75234-1905 |
| Practice Telephone | 5207846570 |
| Practice Fax Number | 5207846575 |
| Mailing Telephone | 2144424802 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
012568 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1755 Wittington Pl Ste 175, Dallas, TX 752341905 | 2144424802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631249 | Kelly Lynn Johnson | Occupational Therapist | 22123 Figueroa St Unit 113, Carson, CA 90745-4464 | 2020-05-21 |
| 1851932404 | Kelly Christine Johnson | Nurse Practitioner | 7319 Stonerock Cir # 106, Orlando, FL 32819-8002 | 2019-10-04 |
| 1083274989 | Kelly Danielle Johnson | Registered Nurse | 76 Dubois Ct Apt D, Englewood, NJ 07631-3439 | 2019-06-13 |
| 1871151365 | Kelly Johnson | Family Medicine | 103 S White Oak Rd, White Oak, TX 75693-1517 | 2019-05-30 |
| 1194288753 | Kelly Mills Johnson | Psychologist | 100 Bush St Ste 918, San Francisco, CA 94104-3950 | 2019-04-10 |
| 1700345345 | Kelly Marlene Johnson | Nurse Practitioner | 1320 E Oklahoma Ave, Guthrie, OK 73044-3757 | 2019-03-13 |
| 1891253597 | Kelly Marie Johnson | Specialist/Technologist | 1472 Mobley Ct, Frederick, MD 21701-9113 | 2019-03-12 |
| 1447744347 | Kelly Theresa Johnson | Speech-Language Pathologist | 5272 River Rd Ste 100, Bethesda, MD 20816-1454 | 2018-06-14 |
| 1962902882 | Kelly M Johnson | Licensed Vocational Nurse | 118 Brazos Ln, Kyle, TX 78640-5289 | 2018-02-16 |
| 1427573476 | Kelly Colleen Johnson | Social Worker | 2530 Meridian Parkway, Suite 300, Pbn: 3071, Durham, NC 27713-2771 | 2017-08-11 |
| Street Address |
2424 N WYATT DR # 130 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-6115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956392 | Paul A Hodges | Physical Therapist | 2424 N Wyatt Dr # 130, Tucson, AZ 85712-6115 | 2005-07-21 |
| 1528619053 | Rachael Mary Reuter | Physical Therapist | 2424 N Wyatt Dr # 130, Tucson, AZ 85712-6115 | 2019-09-25 |
| 1225683238 | William Michael Orr | Occupational Therapist | 2424 N Wyatt Dr # 130, Tucson, AZ 85712-6115 | 2019-08-06 |
| 1821473539 | Tasnim Nafady | Physical Therapist | 2424 N Wyatt Dr # 130, Tucson, AZ 85712-6115 | 2015-07-23 |
| 1467852053 | Colin Steiner | Physical Therapist | 2424 N Wyatt Dr # 130, Tucson, AZ 85712 | 2014-09-02 |
| 1437580875 | Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | 2424 N Wyatt Dr # 130, Tucson, AZ 85712-6115 | 2013-12-11 |
| 1689011215 | Vincent M Suazo | Physical Therapy Assistant | 2424 N Wyatt Dr # 130, Tucson, AZ 85712-6115 | 2013-05-22 |
| 1922358589 | Maria Tast | Occupational Therapy Assistant | 2424 N Wyatt Dr # 130, Tucson, AZ 85712-6115 | 2012-09-11 |
| 1730440173 | Anthony L Henderson | Physical Therapist | 2424 N Wyatt Dr # 130, Tucson, AZ 85712-6115 | 2012-06-01 |
| 1154582294 | Selene A. Nance | Physical Therapist | 2424 N Wyatt Dr # 130, Tucson, AZ 85712 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821467630 | Sarah Bialik | Physical Therapist | 7493 E Tanque Verde Rd, Tucson, AZ 85715-3477 | 2015-09-22 |
| 1467779967 | Southern Arizona Therapy Network Inc. | Physical Therapist | 5330 N Calle Bujia, C/o Joanne Smith, Tucson, AZ 85718-5217 | 2010-04-23 |
| 1760694491 | Jacqueline Dawn Doidge | Physical Therapist | 2472n. Pantano Rd., Ultimate Treatment Zone Physical Therapy, LLC, Tucson, AZ 85715-2602 | 2007-05-04 |
| 1710015011 | Glenn A Kippes | Physical Therapist | 6588 N Oracle Rd, Tucson, AZ 85704-5615 | 2007-03-01 |
| 1043220148 | Kevin Patrick Mahon | Physical Therapist | 8987 E Tanque Verde Rd # 104, Tucson, AZ 85749-9610 | 2006-08-09 |
| 1417910258 | Dhhs-phs, Ihs Tucson Area, Ihs Tucson | Physical Therapist | Highway 86 At Topawa Rd, Tucson, AZ 85634 | 2006-04-11 |
| 1467429290 | Fort Lowell Physical Therapy, PC | Physical Therapist | 2560 E Fort Lowell Rd, Tucson, AZ 85716-1514 | 2006-03-01 |
| 1184628562 | Polaris Physical Therapy P.C. | Physical Therapist | 2404 E River Road, Tucson, AZ 85718 | 2005-06-13 |
| 1811999022 | Sharon Elizabeth Farrell | Physical Therapist | 6264 E Grant Road, Borden Physical Therapy, LLC, Tucson, AZ 85712-5882 | 2005-06-01 |
| 1326040585 | Adrienne R Parry, P.t., P.C. | Physical Therapist | 1880 W Orange Grove Rd, Tucson, AZ 85704-1129 | 2005-06-01 |
| Find all providers in TUCSON | ||||
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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.