Sandra Danielle Johnson, LMP, NCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00015739 Issued in WA

Practice address

621 W Mallon Ave
300
Spokane, WA 99201-2163

Phone

(509) 325-6100

Fax

(509) 326-1912

NPI assigned

May 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033320262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9757",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992099757",
            "telephone_number": "509-325-6100",
            "fax_number": "509-326-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W MALLON AVE",
            "address_2": "300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012163",
            "telephone_number": "509-325-6100",
            "fax_number": "509-326-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SANDRA",
        "middle_name": "DANIELLE",
        "name_prefix": "Miss",
        "credential": "LMP, NCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I PROVIDER #",
            "identifier": "156794",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan David Johnson, D.C.
• Ryan Scott Johnson
• Sally Johnson
• Sally S Johnson, ARNP
• Samantha Johnson
• Sarah Anne Johnson, MFTI
• Sharleen Johnson
• Spencer Allen Johnson
• Stephen G Johnson, MD
• Susan A Johnson, PHD, M.ED. LMHC, NCC

• Massage Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.