Active NPI
Zachary Dylan Johnson
- Athletic Trainer
- York, PA
National Provider Identifier
1245034792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096.016333
- Practice address
- 604 Harvest Dr
York, PA 17404-7805 - Phone
- (717) 793-1983
- NPI assigned
- Apr 3, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E3846242 | PA | |
| Athletic Trainer | 2255A2300X | 096.016333 | PA | Primary |
Addresses
Primary practice location
604 Harvest Dr
York, PA 17404-7805
Mailing address
604 Harvest Dr
York, PA 17404-7805
Phone (717) 793-1983
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3846242 | PA | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781395200000",
"number": "1245034792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 HARVEST DR",
"city": "YORK",
"state": "PA",
"postal_code": "174047805",
"telephone_number": "717-793-1983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 HARVEST DR",
"city": "YORK",
"state": "PA",
"postal_code": "174047805",
"telephone_number": "717-793-1983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ZACHARY",
"middle_name": "DYLAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-03",
"last_updated": "2026-06-14",
"certification_date": "2026-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "PA",
"license": "E3846242",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "096.016333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.