SHANA JOHNSON MD
NPI 1639373152
Physical Medicine & Rehabilitation in Tumwater, WA
NPI Status: Active since June 11, 2007
Contact Information
344 CLEVELAND AVE SE STE C
TUMWATER, WA
ZIP 98501
Phone: (360) 464-7940
Fax: (360) 362-8749
- Individual
- Female
- Physical Medicine & Rehabilitation
- PECOS Enrolled
About SHANA JOHNSON
This page provides the complete NPI Profile along with additional information for Shana Johnson, a provider established in Tumwater, Washington with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1639373152 assigned on June 2007. The practitioner's primary taxonomy code is 208100000X with license number MD 60001063 (WA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1639373152
- Provider Name
- SHANA JOHNSON MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 344 CLEVELAND AVE SE STE C TUMWATER, WA 98501
- Location Phone
- (360) 464-7940
- Location Fax
- (360) 362-8749
- Mailing Address
- 344 CLEVELAND AVE SE STE C TUMWATER, WA 98501
- Mailing Phone
- (360) 464-7940
- Mailing Fax
- (360) 362-8749
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-11-2007
- Last Update Date
- 08-11-2020
- Code Navigator
Location Map
Secondary Locations
- 1959 NE Pacific St
Seattle, WA 98195
(206) 598-3344 - 530 Lilly Rd SE Ste 102
Olympia, WA 98501
(425) 502-5253
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD 60001063
- License State
- WA
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD 60001063 | OTHER (01) | WA | MEDICAL LICENSE |
| 8521783 | MEDICAID (05) | WA | |
| BP1-0022479 | OTHER (01) | INSTITUTIONAL PERMIT | |
| 0241237 | OTHER (01) | WA | L&I |
Medicare Participation & PECOS Enrollment Status
Shana Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 3 | 7 | 3 | 1 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 6 | 7 | 6 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 6 + 7 + 6 + 1 + 1 + 0 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1639373152 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942811153 | KONDITION LLC Organization | Physical Medicine & Rehabilitation | 344 CLEVELAND AVE SE STE C TUMWATER, WA 98501 (360) 464-7940 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639373152, enumerated in the NPI registry as an "individual" on June 11, 2007
The provider is located at 344 Cleveland Ave Se Ste C Tumwater, Wa 98501 and the phone number is (360) 464-7940
The provider's speciality is Physical Medicine & Rehabilitation with taxonomy code 208100000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
This NPI record was last updated on June 11, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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