Maureen Elizabeth Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22872 Issued in MD

Practice address

6151 Daylong LN
Clarksville, MD 21029-1639

Phone

(410) 531-2525

Fax

(410) 531-2289

NPI assigned

Apr 29, 2009

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

Other names 1

• Maureen Taitt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1124262548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 DAYLONG LN",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291639",
            "telephone_number": "410-531-2525",
            "fax_number": "410-531-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MAUREEN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "TAITT",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Makenzie Jackson
• Tiffany Jacobson
• Jennifer a Sokolosky DMD, PA
• Chris Johnson
• Judy Johnson, LAC
• Marissa Josiah, LC2821
• Kaiser Ahmad, PA
• Devesh Dhruva Kanjarpane, MD MPH
• Jane Faith Kapustin, CRNP
• Charles T Karpewicz II, P.T.

• Physical Therapist in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.