Laneatra Danette Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306602180 Issued in VA

Practice address

5500 Williamsburg Landing Dr
Williamsburg, VA 23185-8079

Phone

(757) 258-2178

NPI assigned

Jul 23, 2007

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

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1083814503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 PENNIMAN RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855416",
            "telephone_number": "757-318-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 WILLIAMSBURG LANDING DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231858079",
            "telephone_number": "757-258-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LANEATRA",
        "middle_name": "DANETTE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleisha Johnson, MD
• Alex Johnson, LMSW
• Alicia Blackham Johnson, DPT
• David P Johnson, MD
• Kayla Jean Johnson
• Michele Leigh Johnson, LCSW
• Tommy Johnson, MD
• Wade Lane Johnson, M.D.
• Avery Irene Johnston
• Timothy K Johnston

• Physical Therapy Assistant in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.

Verify at the official NPI Registry.