Ricardo Johnson Jr., PTA- MLD-C

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A3330 Issued in MD

Practice address

2004 Royal Garden Dr
Baltimore, MD 21207-4324

Phone

(301) 708-8516

NPI assigned

Jul 6, 2024

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

State licenses

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

{
    "created_epoch": "1720224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1356187611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 ROYAL GARDEN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074324",
            "telephone_number": "301-708-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 ROYAL GARDEN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074324",
            "telephone_number": "301-708-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICARDO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA- MLD-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-06",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A3330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Bethany Johnson, M.D.
• Rachel Virginia Johnson, OTR/L
• Raquel Johnson, LGPC
• Raven Simone Johnson, MD
• Rebecca Johnson
• Robert Daniel Johnson, RPH
• Rodney A. Johnson, M.D.
• Rosetta V. Johnson, LGSW
• Sandra Maria Johnson, MD
• Sandy Louise Johnson, CRNP

• Physical Therapy Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; 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.