Andrew Scott Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2933 Issued in NC

Practice address

240 Hospital Dr NE
Bolivia, NC 28422-8346

Phone

(910) 721-1000

NPI assigned

Jan 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1053901983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 FRANKLIN CIR",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295669119",
            "telephone_number": "828-292-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL DR NE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228346",
            "telephone_number": "910-721-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4503 Main St",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704447",
            "country_code": "US",
            "telephone_number": "910-721-3157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "2933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Channing Deneshia Huggins
• Sharon Diane Hughes, MS, CCC-SLP
• Tanya Cara Isaman, MSW, LCSW
• Noemi Alicea James, FNP
• Kendyll Elizabeth Joerger
• Wendy Angelina Johnston, LCSW-C
• Catalina Jordan, MS CCC-SLP
• Mark Vernon Jordan, MD
• Ryan Jordanhazy, M.D.
• Susan Beth Kam, M.A., LPA

• Physical Therapy Assistant in Bolivia, NC
• Providers in Bolivia, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.