Active NPI
Tamika Johnson
- Physical Therapy Assistant
- Fayetteville, NC
National Provider Identifier
1518668334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 5628 Chason Ridge Dr Apt a
Fayetteville, NC 28314-4412 - Phone
- (910) 797-9236
- NPI assigned
- Mar 17, 2023
- Last updated
- Mar 17, 2023
- Sex
- Female
- 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 Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
5628 Chason Ridge Dr Apt a
Fayetteville, NC 28314-4412
Mailing address
5628 Chason Ridge Dr Apt a
Fayetteville, NC 28314-4412
Phone (910) 797-9236
Other practice location 1
1206 Fulton St
Raeford, NC 28376-1926
Phone (910) 875-4280
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1518668334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5628 CHASON RIDGE DR APT A",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283144412",
"telephone_number": "910-797-9236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5628 CHASON RIDGE DR APT A",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283144412",
"telephone_number": "910-797-9236"
}
],
"practiceLocations": [
{
"address_1": "1206 Fulton St",
"address_purpose": "LOCATION",
"city": "Raeford",
"state": "NC",
"postal_code": "283761926",
"country_code": "US",
"telephone_number": "910-875-4280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "TAMIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-17",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.