MRS. HOLLY P JOHNSON (NPI# 1780896050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780896050 |
| Entity Type | Individual |
| Full Name | MRS. HOLLY P JOHNSON |
| Credential | PT |
| Practice Address |
3616 N Main St Rockford IL 61103-2159 |
| Mailing Address |
3496 E Whitaker Rd Byron IL 61010-9215 |
| Practice Telephone | 8158775932 |
| Practice Fax Number | 8158776302 |
| Mailing Telephone | 8152348998 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070002098 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225377351 | Holly Ann Johnson | Occupational Therapist | 470 Skylark Blvd, Satellite Beach, FL 32937-3727 | 2013-02-08 |
| 1508152489 | Holly Ann Johnson | Hearing Instrument Specialist | 2845 N Ridge Rd E, Ashtabula, OH 44004-4134 | 2011-06-20 |
| 1083914097 | Holly Johnson | Physical Therapist | 2268 Ross Rd, Olive Branch, MS 38654-9406 | 2010-10-25 |
| 1780996652 | Holly C Johnson | Counselor | 512 E Fleming Dr, Morganton, NC 28655-5315 | 2010-07-08 |
| 1164623831 | Holly R Johnson | Social Worker | 1041 Oconee Forest Ln, Watkinsville, GA 30677-2323 | 2007-05-30 |
| 1295945947 | Holly Harrison Johnson | Social Worker | 96 Denow Rd, Lawrenceville, NJ 08648-2047 | 2007-05-23 |
| 1730235219 | Holly D Johnson | Developmental Therapist | 2390 51st St N, St Petersburg, FL 33710-3539 | 2007-01-26 |
| 1033221379 | Holly A Johnson | Family Medicine | 1244 Clifden Greene, Charlottesville, VA 22901 | 2006-08-31 |
| 1649214222 | Holly Johnson | Physical Therapist | 2200 S Mt Charleston Dr, Pahrump, NV 89048 | 2006-06-15 |
| 1003439183 | Holly Johnson | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346-1718 | 2020-05-22 |
| Street Address |
3616 N MAIN ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144298381 | Jennifer L Wuori | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2006-03-14 |
| 1639624455 | Kelly Demus | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2016-08-22 |
| 1154779627 | Paul M Jonff | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2016-05-25 |
| 1922455393 | Jacob Mueller | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2016-05-16 |
| 1831567049 | Daiane Trevisan Latosinski | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2015-09-03 |
| 1467846501 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2015-03-26 |
| 1053747899 | Rachel M Zimmerman | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2013-09-25 |
| 1932429297 | Erin Wilson | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2010-06-09 |
| 1639300122 | Byron Cann | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2009-07-31 |
| 1255570206 | Samantha J Owen | Physical Therapy Assistant | 3616 N Main St, Rockford, IL 61103-2159 | 2009-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
| Find all providers in zip 61103 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538351622 | Nancy Kerber Bokermann | Physical Therapist | 8712 Oakwood Glen Dr, Rockford, IL 61108-7008 | 2007-08-13 |
| 1932311354 | Maria E Coffman | Physical Therapist | 650 N Main St, Rockford, IL 61103-6921 | 2007-05-06 |
| 1447389440 | Renee L. Voltz | Physical Therapist | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2007-03-05 |
| 1679600209 | Kendra L Meyers | Physical Therapist | 2400 N Rockton Ave, Rockford, IL 61103-3655 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1437625001 | Jennifer K. Buccelli, Mpt | Physical Therapist | 597 Plymouth Ct, Gurnee, IL 60031-3229 | 2018-10-22 |
| 1124511159 | Molly Victorine | Physical Therapist | 1375 Newcastle Ln, Hoffman Estates, IL 60169-1225 | 2018-06-13 |
| 1750896163 | Julie Ann Brady | Physical Therapist | 430 Nevada St, Frankfort, IL 60423-1565 | 2017-12-07 |
| 1467965939 | Carla Gain | Physical Therapist | 118 Westhaven School Rd, Belleville, IL 62220-3264 | 2017-11-07 |
| 1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1417409970 | Katherine Wolff | Physical Therapist | 12 N Kenilworth Ave, Mount Prospect, IL 60056-2232 | 2016-11-01 |
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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.