Active NPI
Turkessa Shermaine Johnson, CTRS
- Recreation Therapist
- Perry Point, MD
National Provider Identifier
1558643197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 42399
- Practice address
- Ave D
PMRS 117
Perry Point, MD 21902 - Phone
- (410) 642-2411
- NPI assigned
- Sep 9, 2011
- Last updated
- Mar 15, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 42399 | FL | Primary |
Addresses
Primary practice location
Ave D
PMRS 117
Perry Point, MD 21902
Mailing address
824 Wingsail CT
Joppa, MD 21085-3323
Phone (443) 624-2101
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 |
|---|---|---|---|
| 42399 | FL | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1558643197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 WINGSAIL CT",
"city": "JOPPA",
"state": "MD",
"postal_code": "210853323",
"telephone_number": "443-624-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE D",
"address_2": "PMRS 117",
"city": "PERRY POINT",
"state": "MD",
"postal_code": "21902",
"telephone_number": "410-642-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TURKESSA",
"middle_name": "SHERMAINE",
"name_prefix": "Ms.",
"credential": "CTRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "FL",
"license": "42399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry Point, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.