Jenna Angelina Johnson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61365326 Issued in WA

Practice address

2315 6TH Ave
Tacoma, WA 98403-1050

Phone

(253) 564-2220

Fax

(253) 564-2221

NPI assigned

Dec 22, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abc Physical Therapy

  • Physical Therapy Clinic/Center
  • Tacoma, WA
  • NPI 1154377240

  Massage Therapist

  NPD
• Abc Physical Therapy

  • Physical Therapy Clinic/Center
  • Gig Harbor, WA
  • NPI 1275080301
  NPD (past)

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1033821889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984031050",
            "telephone_number": "253-564-2220",
            "fax_number": "253-564-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984031050",
            "telephone_number": "253-564-2220",
            "fax_number": "253-564-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNA",
        "middle_name": "ANGELINA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61365326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "achieve@abcphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "ABC Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2315 6th Ave",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984031050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heidi Kristine Johnson, L.M.P.
• Holly Johnson, LCSW
• Howard L. Johnson
• Jacob Steven Samuel Johnson, RN
• James Johnson, LICSW
• Jennifer A Johnson, LMT
• Jerome Johnson
• Joeseph Johnson, CADC
• Joseph Craig Johnson, PHARMD
• Julie P Johnson, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.