Matthew Todd Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019980 Issued in PA

Practice address

1174 Illicks Mill Rd
Bethlehem, PA 18017-3652

Phone

(610) 419-9755

Fax

(610) 419-8532

NPI assigned

Jun 24, 2009

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1407084817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CHERRY LN",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180159540",
            "telephone_number": "484-851-3386",
            "fax_number": "484-851-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 ILLICKS MILL RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180173652",
            "telephone_number": "610-419-9755",
            "fax_number": "610-419-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTHEW",
        "middle_name": "TODD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Trae Johnson, RN
• Gina Johnson, LBS, BCBA
• India Johnson, MS
• Kaylee M Johnson, OTR/L
• Mallory Johnson, M.S. SLP - CF
• Melissa Johnson, LCSW
• Meredith Alyse Johnson, PA-C
• Merlyn George Johnson, MD
• Nia Johnson
• Quanesha Spencer Johnson, LPC

• Physical Therapist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.