Tiffany Monique Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2071599 Issued in TX

Practice address

19138 US Highway 281 N Ste 200
San Antonio, TX 78258-4988

Phone

(210) 489-7270

Fax

(210) 403-2425

NPI assigned

Oct 28, 2020

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• The San Antonio Orthopaedic Group, LLP

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1457429375
  NPD (past)

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1063012193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HIGH OAK",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483705",
            "telephone_number": "210-995-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19138 US HIGHWAY 281 N STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584988",
            "telephone_number": "210-489-7270",
            "fax_number": "210-403-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIFFANY",
        "middle_name": "MONIQUE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2071599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "2071599",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Johnson, RPH
• Taylor Phillips Johnson, AGACNP
• Teri Johnson
• Thomas Brent Johnson, MSN, RN, FNP-C
• Tiara Johnson
• Tiffany Nishae Johnson, MA LPC NCC
• Tina B Johnson
• Tracy R Johnson, MD
• Travis W. Johnson Sr., M.A., LPC
• Varnell L. Johnson Sr., LPC

• Physical Therapy Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.