Mary Ann Zaccaria Johnson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005810 Issued in WA

Practice address

14820 E 4TH Ave
Spokane Valley, WA 99216-2165

Phone

(509) 922-1644

Fax

(509) 922-0246

NPI assigned

Nov 30, 2009

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1659609733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 E GROUSE RD",
            "city": "CHATTAROY",
            "state": "WA",
            "postal_code": "990038625",
            "telephone_number": "509-292-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14820 E 4TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162165",
            "telephone_number": "509-922-1644",
            "fax_number": "509-922-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARY",
        "middle_name": "ANN ZACCARIA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra E Johnson, ARNP
• Kristofer K Johnson, PA
• Lauren Johnson
• Lori Ann Johnson, BS
• Lynn Marie Johnson, RN
• Megan Alyse Johnson, DPT
• Ramona Johnson, COTA/L
• Sara Patricia Johnson, DC
• Savannah Johnson
• Tami Johnson

• Physical Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.