Elisabeth Courtenay Johnson · 1712 South 17th Street, Tacoma, WA 98405 · Pediatric Physical Therapist (2024)

Overview

Elisabeth Courtenay Johnson is a Pediatric Physical Therapist practicing in Tacoma, Washington. The National Provider Identifier (NPI) is #1154673036, which was assigned on October 3, 2012, and the registration record was last updated on October 3, 2012. The practitioner's main practice location is at 1712 South 17th Street, Tacoma, WA 98405; the contact telephone number is 2535714500. The primary taxonomy of Elisabeth Courtenay Johnson is Pediatric Physical Therapist (2251P0200X), with specialization in Pediatrics. Elisabeth Courtenay Johnson is licensed to practice in the state of Washington (#PT 00007717).

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

Provider Information

NPI 1154673036
Entity Type Individual
Provider Name MRS. ELISABETH COURTENAY JOHNSON
Gender Female
Credential P.T.
Practice Address 1712 South 17th Street
Tacoma
WA 98405
Practice Telephone 2535714500
Mailing Address P.O. Box 1357
Tacoma
WA 98401-1357
Mailing Telephone 2535714500
Enumeration Date 2012-10-03
Last Update Date 2012-10-03
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y2251P0200XPhysical TherapistPediatricsPT 00007717WA

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
18667WATPS EMPLOYEE IDOther

Taxonomy Information

Primary Taxonomy

Code 2251P0200X
Taxonomy Pediatric Physical Therapist
Classification Physical Therapist
Specialization Pediatrics
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Notes: Source: American Physical Therapy Association [1/1/2020: definition added] Additional resources: http://www.abpts.org/uploadedFiles/ABPTSorg/Specialist_Certification/DSP/DSP-Pediatrics.pdf

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Brooke E Bernstein 867 Eastwind Dr, Westerville, OH 43081-3309Pediatric Physical Therapist2024-07-08
Emily Berry 953 Davis Hwy, Mineral, VA 23117-4149Pediatric Physical Therapist2024-08-02
Meredith Pat Crizer 7 Dunwoody Park Ste 104, Atlanta, GA 30338-6711Pediatric Physical Therapist2024-08-06
Brayden Brazeal 23247 I 30 Unit 7, Bryant, AR 72022-2571Pediatric Physical Therapist2024-08-02
Jordyn Banks 16760 Lincoln St, Grand Haven, MI 49417-8864Pediatric Physical Therapist2024-06-25
Inspiring Minds Therapy Center Corp 1450 Meeting Pl Unit 109, Orlando, FL 32814-5907Pediatric Physical Therapist2024-06-25
Rachel J Erickson 5408 Beaumont Dr, Durham, NC 27707-9709Pediatric Physical Therapist2024-07-03
Jennifer Gaubert 6655 Milne Blvd, New Orleans, LA 70124-2222Pediatric Physical Therapist2024-08-01
Charlotte Addison Pickens 7 Memorial Medical Dr, Greenville, SC 29605-4407Pediatric Physical Therapist2024-08-06
Hannah Koeneman I 3439 Hobson Rd, Fort Wayne, IN 46805-1617Pediatric Physical Therapist2024-07-22
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Location Information

Street Address 1712 SOUTH 17TH STREET
City TACOMA
State WA
Zip Code 98405
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Joseph Bengston Grabowski 316 M.L.K. Jr Way, #212, Tacoma, WA 98405Registered Nurse2022-08-29
Grace Merritt 315 Martin Luther King Jr. Way, Mailstop 315-5c-Tfm, Tacoma, WA 98405Student in an Organized Health Care Education/Training Program2024-03-27
Sarah Quinn 1901 Union Ave S Building B Suite 6007, Tacoma, WA 98405Behavior Technician2020-12-14
Acts Pharmacy and Healthcare Services, LLC 1901 S Union Ave, Bldg B Ste 2011, Tacoma, WA 98405Long Term Care Pharmacy2024-01-15
Hailey Crystal Smith 1901 S Union Ave Building B, Suite 6007, Tacoma, WA 98405Behavior Technician2021-04-12
Nichelle Duncan · Nichelle Huber 2202 South Cedar St #300/#200, Tacoma, WA 98405Mental Health Counselor2021-08-10
Nichelle Lazette Brown 610 So. Yakima Street, Tacoma, WA 98405Counselor2024-06-10
Bima Services 1106 Martin Luther King Jr Way, Tacoma, WA 98405Clinical Social Worker2021-03-04
Rodney Spinks 601 Yakima Ave., Tacoma, WA 98405Counselor2023-04-13
Anjelica Sierra Brown 315 Mlk Jr Way, Tacoma, WA 98405Physician Assistant2020-06-26
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.

Elisabeth Courtenay Johnson · 1712 South 17th Street, Tacoma, WA 98405 · Pediatric Physical Therapist (2024)
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