Active NPI
Mark Johnson, PT, DPT
- Physical Therapist
- South Hamilton, MA
National Provider Identifier
1093114506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 21256
- Practice address
- 40 Asbury St
South Hamilton, MA 01982-1808 - Phone
- (978) 468-4430
- Fax
- (978) 468-4220
- NPI assigned
- Aug 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21256 | MA | Primary |
Addresses
Primary practice location
40 Asbury St
South Hamilton, MA 01982-1808
Mailing address
40 Asbury St
South Hamilton, MA 01982-1808
Phone (978) 468-4430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408492800000",
"number": "1093114506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ASBURY ST",
"city": "SOUTH HAMILTON",
"state": "MA",
"postal_code": "019821808",
"telephone_number": "978-468-4430",
"fax_number": "978-468-4220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 ASBURY ST",
"city": "SOUTH HAMILTON",
"state": "MA",
"postal_code": "019821808",
"telephone_number": "978-468-4430",
"fax_number": "978-468-4220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARK",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "21256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Hamilton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.