Active NPI
Eric A Johnson, DPT
- Physical Therapist
- New City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 16 Squadron Blvd
New City, NY 10956-5259 - Phone
- (845) 300-0568
- NPI assigned
- Nov 6, 2019
- Last updated
- Nov 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
16 Squadron Blvd
New City, NY 10956-5259
Mailing address
199 Waters Edge
Valley Cottage, NY 10989-1611
Phone (845) 300-0568
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040137 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Physical and Occupational Therapy Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Physical Therapist | Current | Accepting new patients |
Locations
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
800 E Gate Blvd
Garden City, NY 11530
1000 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 466-4700
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Physical Therapist
-
dba New York Therapy And Wellness
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1316581044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 WATERS EDGE",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109891611",
"telephone_number": "845-300-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 SQUADRON BLVD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109565259",
"telephone_number": "845-300-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ERIC",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-06",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.