Michael Robert Johnson, DSCPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

039400-01 Issued in NY

Practice address

Keller Army Community Hospital, Arvin Gymnasium
900 Washington Road
West Point, NY 10996

Phone

(845) 938-3324

Fax

(845) 938-8114

NPI assigned

Apr 12, 2006

Last updated

Oct 11, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1114981784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578A BENEDICT RD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961205",
            "telephone_number": "845-938-3067",
            "fax_number": "845-938-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KELLER ARMY COMMUNITY HOSPITAL, ARVIN GYMNASIUM",
            "address_2": "900 WASHINGTON ROAD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "10996",
            "telephone_number": "845-938-3324",
            "fax_number": "845-938-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "DSCPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "039400-01",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "2799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M Hoogeveen, MS, ATC, ITAT
• Thu Hua, OD
• Jennifer D Huff, ATC
• Jeannine Ann Ignacio O'Donnell, RN
• Adam David Jackler, O.D.
• Nathan C Johnson, MD
• Christopher J Jones, PA
• Ryan Ndichu Kamanu
• Keller Army Community Hospital (Mologne TMC-West Point)
• Keller Army Community Hospital (Picatinny Arsenal Ahc)

• Orthopedic Physical Therapist in West Point, NY
• Providers in West Point, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.