Active NPI
Demond Johnson
- Health & Wellness Coach
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 905 W Eisenhower Cir Ste 108
Ann Arbor, MI 48103-6400 - Phone
- (734) 222-5080
- NPI assigned
- Aug 26, 2021
- Last updated
- Aug 26, 2021
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dietary Manager | 132700000X | NU | ||
| Nutritionist | 133N00000X | NU | ||
| Occupational Therapy Assistant | 224Z00000X | NU | ||
| Physical Therapist | 225100000X | NU | ||
| Athletic Trainer | 2255A2300X | NU | ||
| Massage Therapist | 225700000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Health Educator | 174H00000X | NU | ||
| Health & Wellness Coach | 171400000X | NU | Primary | |
| Recreational Therapist Assistant | 226000000X | NU |
Addresses
Primary practice location
905 W Eisenhower Cir Ste 108
Ann Arbor, MI 48103-6400
Mailing address
905 W Eisenhower Cir Ste 108
Ann Arbor, MI 48103-6400
Phone (734) 222-5080
Other practice location 1
2075 E West Maple Rd Ste B-208
Commerce Township, MI 48390-3816
Phone (734) 222-5080
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | demond@a2fitnesspro.com | ||
| Direct Messaging Address | admin@a2fitnesspro.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A2 Integrative Wellness, LLC | Dietary Manager | Current | Accepting new patients |
Locations
905 W Eisenhower Cir
Ste 108
Ann Arbor, MI 48103
Phone (313) 665-6638
2075 E West Maple Rd
Ste B208
Commerce Township, MI 48390
Phone (248) 669-9500
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Commerce Township, MI
- NPI 1588331573
Dietary Manager
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1528735594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 W EISENHOWER CIR STE 108",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481036400",
"telephone_number": "734-222-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 W EISENHOWER CIR STE 108",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481036400",
"telephone_number": "734-222-5080"
}
],
"practiceLocations": [
{
"address_1": "2075 E West Maple Rd Ste B-208",
"address_purpose": "LOCATION",
"city": "Commerce Township",
"state": "MI",
"postal_code": "483903816",
"country_code": "US",
"telephone_number": "734-222-5080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "DEMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-26",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "226000000X",
"taxonomy_group": "",
"desc": "Recreational Therapist Assistant",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "demond@a2fitnesspro.com",
"affiliation": "N",
"address_1": "905 W Eisenhower Cir Ste 108",
"city": "Ann Arbor",
"state": "MI",
"country_code": "US",
"postal_code": "481036400",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "admin@a2fitnesspro.com",
"affiliation": "N",
"address_1": "905 W Eisenhower Cir Ste 108",
"city": "Ann Arbor",
"state": "MI",
"country_code": "US",
"postal_code": "481036400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.