Jon Robert Johnson, CPO, LPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

1273 Issued in TX

Practice address

1101 W Vickery Blvd
Fort Worth, TX 76104-1025

Phone

(682) 303-3116

Fax

(682) 885-5606

NPI assigned

Aug 6, 2009

Last updated

Sep 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1366673303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99283",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761991383",
            "telephone_number": "682-885-6294",
            "fax_number": "682-885-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W VICKERY BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041025",
            "telephone_number": "682-303-3116",
            "fax_number": "682-885-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JON",
        "middle_name": "ROBERT",
        "credential": "CPO, LPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "ATP94445",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "1273",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TX",
            "license": "1273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Johnson, DNP, APRN, ACNS-BC
• Jennifer Pappe Johnson, LPC LMFT
• Jeremy Wayne Johnson, D.O.
• John Johnson, O.D.
• John W Johnson III, MD
• Kacie Johnson, NP-C
• Kayla Johnson, MA, BCBA
• Kellie Anita Johnson, DDS
• Kelsie Aubrianne Johnson, SLP
• Kristal L Johnson

• Prosthetist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Prosthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.