Angela Crystell Todd Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3301 Issued in SC

Practice address

1056 TPC Blvd
Murrells Inlet, SC 29576-8912

Phone

(843) 333-4820

NPI assigned

Oct 24, 2023

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1356113377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1338 LIMESTONE ST",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295766525",
            "telephone_number": "843-333-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 TPC BLVD",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295768912",
            "telephone_number": "843-333-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD JOHNSON",
        "first_name": "ANGELA",
        "middle_name": "CRYSTELL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Chesser Thrash, DO
• Tidelands Health
• Bradley B Tiller, D.M.D.
• Matthew David Tillman, DDS
• Ella Tisdale, CRNA
• Barbara A. Todd, DMD
• Brandi Johnson Todd
• Portia Quantee Toon, FNP
• Tranquility Counseling
• Ashley Marie Trotter, PTA

• Physical Therapy Assistant in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.