Charles Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

00306 Issued in IA

Practice address

2104 Four Winds Dr
Cedar Falls, IA 50613-6435

Phone

(319) 266-5993

Fax

(319) 266-6142

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Chuck Johnson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bethel Lutheran Home

  • Skilled Nursing Facility
  • Madison, SD
  • NPI 1497736615
  NPD

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235333147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 FOUR WINDS DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136435",
            "telephone_number": "319-266-5993",
            "fax_number": "319-266-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 FOUR WINDS DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136435",
            "telephone_number": "319-266-5993",
            "fax_number": "319-266-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHARLES",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "00306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHUCK",
            "last_name": "JOHNSON",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bethany Kay Jacobsen, PT, ATC
• Erika Kay Jeanes, DPT
• Jennifer Leigh Jensen, D.C.
• Bradley Johannsen, DC
• Carolyn Ilene Johnson, NURSE PRACTITIONER
• Janine Johnson, ARNP
• Kerri A Johnson, ARNP
• Michael L Johnson Jr., D.C.
• Roswell Maccallum Johnston, DO
• Todd Loring Johnston, MD

• Physical Therapy Assistant in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Physical Therapy Assistant in Iowa

• 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.

Verify at the official NPI Registry.