Active NPI
John G Johnson Enterprises, LLC
- Specialist
- Cinnaminson, NJ
National Provider Identifier
1083652010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 40QA00276200
- Legal business name
- JOHN G JOHNSON ENTERPRISES, LLC
- Practice address
- 2200 Wallace Blvd
Suite E
Cinnaminson, NJ 08077-2578 - Phone
- (856) 829-0015
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John G Johnson, PT, MS
- Title
- Physical Therapist
- Phone
- (856) 829-0015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 40QA00276200 | NJ | Primary |
Addresses
Primary practice location
2200 Wallace Blvd
Suite E
Cinnaminson, NJ 08077-2578
Mailing address
124 Swedes Run Dr
Delran, NJ 08075-2116
Phone (856) 461-8595
Other names 1
- EverFit
National Provider Directory
National Provider DirectoryLocations
1934 Route 541
Westampton, NJ 08060
Phone (609) 261-2600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184112000000",
"number": "1083652010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 SWEDES RUN DR",
"city": "DELRAN",
"state": "NJ",
"postal_code": "080752116",
"telephone_number": "856-461-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 WALLACE BLVD",
"address_2": "SUITE E",
"city": "CINNAMINSON",
"state": "NJ",
"postal_code": "080772578",
"telephone_number": "856-829-0015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN G JOHNSON ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2007-07-11",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "856-829-0015",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT, MS"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "40QA00276200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EverFit",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cinnaminson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.