Nicole Johnson, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA002150 Issued in GA

Practice address

5905 Old Dawson Rd
Albany, GA 31721-9173

Phone

(229) 869-6625

NPI assigned

Nov 18, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Frances Nicole Johnson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195344000000",
    "number": "1568643567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 OLD DAWSON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219173",
            "telephone_number": "229-869-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 OLD DAWSON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219173",
            "telephone_number": "229-869-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-18",
        "last_updated": "2007-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA002150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "JOHNSON",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "P.T.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Javier Damonte Johnson, D.D.S
• Kyle W Johnson, DO
• Mary Alice Johnson, NP-C
• Minnie Johnson
• Nancy G. Johnson, OD
• Robert Colby Johnson, AA
• Robyn Mann Johnson, M.D.
• Sophia Johnson, EDD, LPC
• Tanell Twanna Johnson
• Trina Johnson, OD

• Physical Therapy Assistant in Albany, GA
• Providers in Albany, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2007; 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.