Christopher Michael Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2011031778 Issued in MO

Practice address

800 S White Oak Rd
Marshfield, MO 65706-2231

Phone

(417) 468-2890

NPI assigned

Oct 25, 2011

Last updated

Oct 25, 2011By the provider in NPPES

Sex

Male

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": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1114203908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 S CHRISTINE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046633",
            "telephone_number": "417-987-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S WHITE OAK RD",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657062231",
            "telephone_number": "417-468-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2011031778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenni Catron, LPC, LLC
• Curtis Dean Jensen, D.D.S.
• Brooke A Jochens, SLP-A
• John Quinn (Marshfield Counseling Center)
• Alissa Marie Johnson, PTA
• Elizabeth Fae Johnston, PTA
• Chelsea R Joy, PHARMD
• Kansas City Vamc
• William Kelly, M.D.
• Tiffany Renee Kirk

• Physical Therapy Assistant in Marshfield, MO
• Providers in Marshfield, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.