Individual provider Active NPI

Erica C Johnson, LMT

  • Massage Therapist
  • Philadelphia, PA
National Provider Identifier
1013262229
Registry record updated Jul 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MSG005875 Issued in PA
Practice address
933 E Sharpnack St
Side Entrance
Philadelphia, PA 19150-3611
Phone
(267) 289-2487
Fax
(215) 933-5588
NPI assigned
Jul 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MSG005875 PA Primary

Addresses

Primary practice location

933 E Sharpnack St
Side Entrance
Philadelphia, PA 19150-3611

Mailing address

7715 Crittenden St
Suite 340
Philadelphia, PA 19118-4421
Phone (267) 289-2487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MSG005875PAMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342224000000",
    "number": "1013262229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 CRITTENDEN ST",
            "address_2": "SUITE 340",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191184421",
            "telephone_number": "267-289-2487",
            "fax_number": "215-933-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E SHARPNACK ST",
            "address_2": "SIDE ENTRANCE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503611",
            "telephone_number": "267-289-2487",
            "fax_number": "215-933-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERICA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-14",
        "last_updated": "2012-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG005875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.