Jeffrey Joseph Johnson, PT CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013473 Issued in FL

Practice address

1812 59TH St W
Bradenton, FL 34209-4630

Phone

(941) 794-3305

Fax

(941) 792-8881

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Citrus Ridge Medical Centers, Inc

  • Multi-Specialty Clinic/Center
  • Davenport, FL
  • NPI 1356639017
  NPD (past)
• Medical Arts Rehabilitation Inc

  • Physical Therapist
  • Palmetto, FL
  • NPI 1730164286
  NPD (past)
• Total Therapy Solutions LLC

  • Rehabilitation Practitioner
  • Monroe, OH
  • NPI 1114973104

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1073676474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094630",
            "telephone_number": "941-794-3305",
            "fax_number": "941-792-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094630",
            "telephone_number": "941-794-3305",
            "fax_number": "941-792-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFREY",
        "middle_name": "JOSEPH",
        "credential": "PT CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "PT13473",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "013473",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "013473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Johnson, DDS
• Alisha R Johnson, OD
• Brittney Janae Johnson, APRM
• Courtney Johnson
• Daniel James Johnson, MD
• Kimberly Johnson, LPC, LMHC
• Lemoyne Franklin Johnson, M.C/
• Stephanie Feil Johnson, PHD
• Tara Johnson
• Barbara Ann Johnston, OTRL

• Physical Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.