Eric Daniel Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2020003955 Issued in MO

Practice address

111 S 11TH Ave Ste 122
Yakima, WA 98902-3242

Phone

(509) 575-5068

NPI assigned

Nov 2, 2018

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)

Enrolled

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1396213849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH AVE STE 122",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023242",
            "telephone_number": "509-575-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH AVE STE 122",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023242",
            "telephone_number": "509-575-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "middle_name": "DANIEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2020003955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan P Johns, MD
• Andrew Johnson
• Anna Christina Johnson, BA/AAC
• Cheryl Johnson, LMHCA
• Elizabeth Faye Johnson, LMP
• Isaac Andrew Johnson, LMFTA
• James Robert Johnson, CRNA
• Jeana M Johnson, ARNP
• Jennifer Lynn Johnson, RN60027543
• Jessica Nicole Johnson

• Physical Therapist in Yakima, WA
• Providers in Yakima, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.