Gary Wayne Johnson, PT, LMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013568 Issued in OH

Practice address

987 Nohunta CT
Cincinnati, OH 45231-2518

Phone

(513) 301-7193

NPI assigned

Feb 23, 2012

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

Other identifiers 1

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": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1184997074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 NOHUNTA CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452312518",
            "telephone_number": "513-301-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 NOHUNTA CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452312518",
            "telephone_number": "513-301-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "credential": "PT, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-23",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.023867",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "013568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0779171",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernestine Kitti Johnson
• Eugene P Johnson, LISW-S
• Farsha Detre Johnson
• Felicia R Johnson
• Gail B Johnson, CNS
• Geoffrey Johnson, CAA
• Ginger Lynne Johnson
• Hannah Marie Johnson, COTA/L
• Harper Johnson, LSW
• Heather Johnson, PSY.D.

• Physical Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.