Samuel Johnson II, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002906 Issued in VA

Practice address

220 Champions Drive
Harrisonburg, VA 22807-2478

Phone

(540) 568-2550

NPI assigned

Aug 26, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1285034496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 EMERALD DR",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHAMPIONS DRIVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228072478",
            "telephone_number": "540-568-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SAMUEL",
        "name_suffix": "II",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-26",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan I Anderson & Co
• Rochelle Virginia Johns, MD
• Caroline Haddox Johnson, MCD, CCC-SLP
• Christina Johnson, MD
• Gregory Seal Johnson, D.D.S.
• William Marshall Johnson, PT,DPT, OCS
• Paul T Johnston, PA-C
• Rebecca S Johnston, LPC
• Kyle Clayton Jones, LNP
• Martha Anne Jones, CNM

• Athletic Trainer in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.