Johnson Athletic Advantage

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1152858 Issued in TX

Legal business name

JOHNSON ATHLETIC ADVANTAGE

Practice address

820 S Alma Dr Ste 110
Allen, TX 75013-3810

Phone

(214) 383-0623

NPI assigned

Jul 3, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cody Johnson, DPTNPI 1154464709

Title

Owner/Physical Therapist

Phone

(214) 383-0623

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cody Johnson, PT

  • Physical Therapist
  • Allen, TX
  • NPI 1154464709
  Medicare reassignment Care Compare group Authorized official
• Steven Chung, DPT

  • Physical Therapist
  • Richardson, TX
  • NPI 1841042819
  Medicare reassignment Care Compare group NPD
• Matthew James Borgerding

  • Physical Therapist
  • Amarillo, TX
  • NPI 1144800046
  Medicare reassignment NPD
• Kirsten Annelle Trapp, DPT

  • Physical Medicine & Rehabilitation Physician
  • Allen, TX
  • NPI 1710443023
  Medicare reassignment NPD

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1194089219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S ALMA DR",
            "address_2": "STE. 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S ALMA DR STE 110",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133810",
            "telephone_number": "214-383-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON ATHLETIC ADVANTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "214-383-0623",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1152858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anitha John, NP
• Blessy Kadavil John, FNP
• Elza John, RPH
• Lesley Sara John, APRN
• Shari John
• Alec Johnson
• Andrea Michelle Johnson, M.ED., LPC
• Cody Johnson, PT
• Damilola Johnson, DDS
• Dorian Sherrod Johnson, OTA

• Physical Therapy Clinic/Center in Allen, TX
• Providers in Allen, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.