Active NPI
Scott Alan Johnson, P.T.
- Physical Therapist
- Centerville, OH
National Provider Identifier
1437367919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7196
- Practice address
- 91 Goldengate Drive
Centerville, OH 45459 - Phone
- (937) 438-5640
- NPI assigned
- May 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7196 | OH | Primary |
Addresses
Primary practice location
91 Goldengate Drive
Centerville, OH 45459
Mailing address
91 Goldengate Drive
Centerville, OH 45459
Phone (937) 438-5640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7196 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437367919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 GOLDENGATE DRIVE",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45459",
"telephone_number": "937-438-5640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 GOLDENGATE DRIVE",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45459",
"telephone_number": "937-438-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SCOTT",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "7196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, OH
- John E. Murphy, III (Bellbrook Family Practice)
- Linty John-Varghese, D.D.S
- Tanisha A Johnson-Jackson
- Jennifer Lebryk Johnson, PT, DPT
- Sarah Elizabeth Johnson, P.T.
- Brandy Jones
- Ethan Mark Jones, DDS
- Lacinda Annette Jones, LICENSED SOCIAL WORK
- Patricia Ann Jones, R.N., B.S.N., B.C.
- Kathryn Ann Jordan, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.