NPIMap

Organization Active NPI

Phillip Johnson

  • Prosthetic/Orthotic Supplier
  • Blacksburg, VA
National Provider Identifier
1265616528
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PHILLIP JOHNSON
Practice address
3635 S Main St
Ste a
Blacksburg, VA 24060-7021
Phone
(540) 951-2566
Fax
(540) 951-7818
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Mr. Phillip Wayne Johnson, C.P.O.NPI 1710185376
Title
Orthotist Prosthetist
Phone
(540) 951-2566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3635 S Main St
Ste a
Blacksburg, VA 24060-7021

Mailing address

3635 S Main St
Ste a
Blacksburg, VA 24060-7021
Phone (540) 951-2566

Other names 1

  • New River Valley O & P Doing business as

National Provider Directory

National Provider Directory

Locations

3635 S Main St
Ste A
Blacksburg, VA 24060
Phone (540) 951-2566

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1265616528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 S MAIN ST",
            "address_2": "STE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607021",
            "telephone_number": "540-951-2566",
            "fax_number": "540-951-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 S MAIN ST",
            "address_2": "STE A",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607021",
            "telephone_number": "540-951-2566",
            "fax_number": "540-951-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ORTHOTIST PROSTHETIST",
        "authorized_official_telephone_number": "540-951-2566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New River Valley O & P",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.