Mark Joseph Johnson, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

10001 Lake Forest Blvd
New Orleans, LA 70127-6200

Phone

(504) 281-4521

NPI assigned

Apr 7, 2020

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

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.

• St. Bernard Physical Therapy Clinic, Inc.

  • Physical Therapist
  • Chalmette, LA
  • NPI 1225350192
  NPD (past)

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1346879715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 ROBERT E LEE BLVD.",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70124",
            "telephone_number": "504-495-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 LAKE FOREST BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701276200",
            "telephone_number": "504-281-4521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12371 US-90E Unit D",
            "address_purpose": "LOCATION",
            "city": "Luling",
            "state": "LA",
            "postal_code": "70070",
            "country_code": "US",
            "telephone_number": "985-331-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1972 Ormond Blvd",
            "address_purpose": "LOCATION",
            "city": "Destrehan",
            "state": "LA",
            "postal_code": "700473818",
            "country_code": "US",
            "telephone_number": "985-307-0925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Town Center Pkwy Unit B700",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704588015",
            "country_code": "US",
            "telephone_number": "985-718-4169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Tulane Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122600",
            "country_code": "US",
            "telephone_number": "504-988-5194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70367 S Tyler St. Unit 200",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "70433",
            "country_code": "US",
            "telephone_number": "985-590-3303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren P Johnson
• Lesli Johnson
• Lichelle Johnson
• Lillie Johnson
• Malik Lamar Johnson, DMD
• Mary Ghobrial Johnson, MD
• Micah Johnson, PHARMD
• Myesha Johnson
• Nicole Johnson, CRNA
• Paige Johnson, MD

• Physical Therapist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.