Michael Edward Johnson Jr., LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

180040 Issued in AK

Practice address

2606 Spenard Rd
Anchorage, AK 99503-2309

Phone

(907) 279-7669

NPI assigned

Oct 6, 2021

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

Other names 1

• Mr. Michael Edward Johnson Jr. Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Massage Now

  • Massage Therapist
  • Anchorage, AK
  • NPI 1174974257
  NPD (past)

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1497417505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E 5TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995012731",
            "telephone_number": "908-764-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 SPENARD RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995032309",
            "telephone_number": "907-279-7669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 E 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995012731",
            "country_code": "US",
            "telephone_number": "907-764-3631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "AK",
            "license": "180040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insurance@massagenowak.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA certified email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Telephonic",
            "address_1": "2606 Spenard Rd",
            "city": "Anchorage",
            "state": "AK",
            "country_code": "US",
            "postal_code": "995032309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "JOHNSON",
            "middle_name": "EDWARD",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maria Ruthe Johnson, BSW
• Martha Pearl Johnson, M.S. CCC-SLP
• Mary Alice Johnson, M.D.
• Maureen Ann Johnson, OT
• Melinda Lee Johnson, CHA/P
• Michelle Marie Johnson
• Morgan Johnson
• Patricia Anne Johnson
• Patterson Johnson, MHS
• Paul H Johnson, DDS

• Massage Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.