Active NPI
Morris Johnson Jr., PT
- Physical Therapist
- Decatur, GA
National Provider Identifier
1497303473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011041
- Practice address
- 4115 Glenwood Rd
Decatur, GA 30032-4727 - Phone
- (404) 284-6414
- NPI assigned
- Sep 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 | PT011041 | GA | Primary |
Addresses
Primary practice location
4115 Glenwood Rd
Decatur, GA 30032-4727
Mailing address
4782 Westhampton Dr
Tucker, GA 30084-2852
Phone (612) 270-9692
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 |
|---|---|---|---|
| PT011041 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1497303473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4782 WESTHAMPTON DR",
"city": "TUCKER",
"state": "GA",
"postal_code": "300842852",
"telephone_number": "612-270-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 GLENWOOD RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300324727",
"telephone_number": "404-284-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MORRIS",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.