Active NPI
Zachary Johnson, MSPT, MBA
- Physical Therapist
- Hayden, CO
National Provider Identifier
1104120914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9128
- Practice address
- PO Box 34
Hayden, CO 81639 - Phone
- (337) 296-0998
- NPI assigned
- Jan 8, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 9128 | CO | Primary |
Addresses
Primary practice location
PO Box 34
Hayden, CO 81639
Mailing address
7644 Dawn Dr
Littleton, CO 80125-8936
Other practice location 1
7644 Dawn Dr
Littleton, CO 80125-8936
Phone (337) 296-0998
Other names 1
- Zack Blake Johnson
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)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9128 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1104120914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7644 DAWN DR",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801258936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 34",
"city": "HAYDEN",
"state": "CO",
"postal_code": "81639",
"telephone_number": "337-296-0998"
}
],
"practiceLocations": [
{
"address_1": "7644 Dawn Dr",
"address_purpose": "LOCATION",
"city": "Littleton",
"state": "CO",
"postal_code": "801258936",
"country_code": "US",
"telephone_number": "337-296-0998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "ZACHARY",
"credential": "MSPT, MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-08",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "9128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ZACK",
"last_name": "JOHNSON",
"middle_name": "BLAKE",
"credential": "MSPT, MBA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Hayden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.