Baron P Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000000846 Issued in TN

Practice address

2324 Market Place Dr
Maryville, TN 37801-8704

Phone

(865) 643-8681

Fax

(865) 643-8682

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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)

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.

• Independent Physical Therapy

  dba BenchMark

  • Physical Therapy Clinic/Center
  • Maryville, TN
  • NPI 1073853867
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1336217074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-954-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 MARKET PLACE DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378018704",
            "telephone_number": "865-643-8681",
            "fax_number": "865-643-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BARON",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000000846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey L Jennings
• Jennifer Couch Jeter, BA
• Brent Alan Johns, DC
• Annalysa M Johnson, D.O.
• Aubrey Sky Johnson, MSOT, OTR/L
• Cynthia Johnson
• Hannah Laurel Johnson, FNP-C
• Jackie Ann Johnson
• Mikall Johnson
• Nancy Mandrell Johnson, LPN

• Physical Therapist in Maryville, TN
• Providers in Maryville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.