William Alan Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-014213 Issued in AZ

Practice address

3160 Stillwater Dr
Prescott, AZ 86305-7151

Phone

(928) 776-9285

Fax

(928) 776-1369

NPI assigned

Jan 20, 2023

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

Practice roles

Locations

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.

• High Country Early Intervention Inc

  • Home Health Agency
  • Prescott, AZ
  • NPI 1144332107
  NPD

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1497460711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 STILLWATER DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057151",
            "telephone_number": "928-776-7753",
            "fax_number": "928-776-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 STILLWATER DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057151",
            "telephone_number": "928-776-9285",
            "fax_number": "928-776-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WILLIAM",
        "middle_name": "ALAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-014213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Johnson, MD
• Lindsey Allyson Johnson, FNP-C
• Rachel Johnson
• Ray W. Johnson, M.D.
• Sherrina Johnson, MS, LMFT
• Scott Allan Jolliffe, CRNA
• Jonathon Gruneich LLC
• Brett Jones, MD, PHD
• Jodi Jones, LMT
• Michele R Jones, R.N.F.A.

• Physical Therapy Assistant in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.