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Active NPI 1750632089 Individual Practitioner Female Practitioner

Kellie Renae Johnson , PTA

Specialist • Topeka, KS

Professional Overview & Biography Verified Profile Summary

Kellie Johnson, PTA is a registered healthcare professional specializing in Specialist in Topeka, KS. Practice services are available at 1315 SW 6TH AVE STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1315 Sw 6th Ave Ste B

Topeka, KS 666061582

Telephone 7852335500
Fax 7852335512
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Topeka, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 33.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Topeka, KS (256 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License KS 1402169

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

23 Associated Practitioners
Marley Mcintyre

Physical Therapy Assistant

NPI 1003627092
Connor Searcy

Physical Therapy Assistant

NPI 1013693852
Sarah Vicory , PTA

Physical Therapy Assistant

NPI 1073056057

Physical Therapist Assistant

Noelle Maples

Physical Therapy Assistant

NPI 1073821880
Laura Ollek , PTA

Physical Therapy Assistant

NPI 1104110261

Physical Therapist Assistant

Dr. Madison Lysaught , DPT

Physical Therapist

NPI 1124916028

Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 26, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2012

Registered at 1315 SW 6TH AVE STE B, TOPEKA, KS 666061582 (Tel: 7852335500)

📍
Updated Business Mailing Address September 26, 2012

Registered at 1315 SW 6TH AVE STE B, TOPEKA, KS 666061582 (Tel: 7852335500)

👤
Provider Name / Credentials Updated September 26, 2012

Recorded as KELLIE JOHNSON, PTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2012

Specialist (License #1402169 in KS)

🟢
Initial NPI Registration & Enumeration September 26, 2012

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: 1750632089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2012
Last Update: September 26, 2012
Sole Proprietor: No

Mailing Address

1315 Sw 6th Ave Ste B

Topeka, KS 666061582

Phone: 7852335500

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.