Antonio Delmar Johnson, MSPT, DPT, CEAS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1152113 Issued in TX

Practice address

2906 Morning Brook Way
Pearland, TX 77584-2119

Phone

(832) 868-3301

Fax

(713) 436-0935

NPI assigned

Aug 31, 2007

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Pivot Rehabilitation Services

  • Physical Therapist
  • Addison, TX
  • NPI 1063243640
  Medicare reassignment NPD
• Adj Interest LLC

  • Physical Therapist
  • Pearland, TX
  • NPI 1144414848
  NPD (past) Authorized official

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1063606044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 MORNING BROOK WAY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842119",
            "telephone_number": "832-868-3301",
            "fax_number": "713-436-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 MORNING BROOK WAY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842119",
            "telephone_number": "832-868-3301",
            "fax_number": "713-436-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANTONIO",
        "middle_name": "DELMAR",
        "name_prefix": "Dr.",
        "credential": "MSPT, DPT, CEAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1152113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Henry Johnigan III, MD
• Alexis Danielle Johns, OTR
• Renee Johns, DC
• Natasha Fontella Johnson Mukombe, LMT
• Teri Johnson-Harper, LCSW
• Ariane Johnson
• C'Arra J Johnson
• Caleb Johnson
• Caprisha S Johnson
• Carole Ann Johnson

• Physical Therapist in Pearland, TX
• Providers in Pearland, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.