MEDICARE: CYNTHIA E. JOHNSON PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1101819	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5548578	OTHER		AETNA
2	623280	OTHER	KS	FIRSTGUARD
3	22940017	OTHER	KS	BCBS KC
4	22940017	OTHER	KS	PHP
5	043216	OTHER	KS	BCBS KS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821043035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA E. JOHNSON PT

Provider Business Mailing Address
First Line	:	4931 W 6TH ST STE 116
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4831
Country	:	US
Telephone Number	:	785-749-1300
Fax Number	:	785-749-4746

Provider Business Practice Location Address
First Line	:	4931 W 6TH ST STE 116
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66049-4831
Country	:	US
Telephone Number	:	785-749-1300
Fax Number	:	785-749-4746

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	12/10/2025

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