Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194286005 Individual Practitioner Male Practitioner

Kadeem David Johnson

Skilled Nursing Facility • Wallingford, CT

Professional Overview & Biography Verified Profile Summary

Kadeem Johnson is a registered healthcare professional specializing in Skilled Nursing Facility in Wallingford, CT. Practice services are available at 35 MARK DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

35 Mark Drive

Wallingford, CT 06492

Telephone 2032650981
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Skilled Nursing Facility in Wallingford, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Wallingford, CT (23 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-03
Skilled Nursing Facility Primary Specialty

NUCC Taxonomy Code: 314000000X

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Colleen Anderson , PT

Physical Therapist

NPI 1073632758

Physical Therapist

Maureen Tombari

Occupational Therapy Assistant

NPI 1073711180
Dr. Ryan Andrews , DPT

Physical Therapist

NPI 1265789911

Doctor of Physical Therapy

Diane Armstrong , PT

Physical Therapist

NPI 1497871610

Physical Therapist

Gina Choiniere

Nurse Practitioner

NPI 1538718861
Christa Hammarstrom , LPTA

Physical Therapy Assistant

NPI 1568582708

Licensed Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 10, 2023

Registered at 35 MARK DRIVE, WALLINGFORD, CT 06492 (Tel: 2032650981)

📍
Updated Business Mailing Address July 10, 2023

Registered at 2 PARK PL APT 18E, HARTFORD, CT 061065016

NPI Profile Active March 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2019

Registered at 444 CENTER ST, MANCHESTER, CT 060403926 (Tel: 8606463888)

📍
Updated Business Mailing Address March 26, 2019

Registered at 995 DAY HILL RD, WINDSOR, CT 060951722 (Tel: 8606973351)

👤
Provider Name / Credentials Updated March 26, 2019

Recorded as KADEEM JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2019

Counselor

🟢
Initial NPI Registration & Enumeration March 26, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194286005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2019
Last Update: July 10, 2023
Sole Proprietor: Yes

Mailing Address

2 Park Pl Apt 18e

Hartford, CT 061065016

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.