Susan Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

04155 Issued in OH

Practice address

3420 Holloway St
Durham, NC 27703-3522

Phone

(919) 596-9464

NPI assigned

Jun 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1417152109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHERRYLAUREL DR",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967133",
            "telephone_number": "567-203-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 HOLLOWAY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277033522",
            "telephone_number": "919-596-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUSAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "04155",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "5240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra J Johnson, FNP-C
• Sarah Elizabeth Johnson
• Sarah Ruth Johnson, MD
• Shanice M Johnson, LCSW
• Sheronda Johnson
• Susan Kay Johnson, LCSW
• Taja M Johnson, MSW, LCSW-A
• Thea Victoria Jones Johnson
• Tirzah Jasiel Johnson, CRNA
• Tonica Vinetta Johnson, MD

• Physical Therapy Assistant in Durham, NC
• Providers in Durham, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.