Active NPI
Craig Arthur Johnson, P.T.
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1184790834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1915
- Practice address
- 4350 E Camelback Rd
Suite F-100
Phoenix, AZ 85018-2701 - Phone
- (602) 955-8700
- Fax
- (602) 553-8142
- NPI assigned
- Nov 27, 2006
- 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 | 1915 | AZ | Primary |
Addresses
Primary practice location
4350 E Camelback Rd
Suite F-100
Phoenix, AZ 85018-2701
Mailing address
2633 E Nance St
Mesa, AZ 85213-1556
Phone (480) 969-9827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1915 | Other | AZ | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1915 | AZ | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184790834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2633 E NANCE ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852131556",
"telephone_number": "480-969-9827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 E CAMELBACK RD",
"address_2": "SUITE F-100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850182701",
"telephone_number": "602-955-8700",
"fax_number": "602-553-8142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CRAIG",
"middle_name": "ARTHUR",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "1915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1915",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.