Tyler Johnson, LMT, CCMA, CNA

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227022331 Issued in IL

Practice address

15000 Cicero Ave Ste 100
Oak Forest, IL 60452-1480

Phone

(219) 315-0565

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1669195525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 HYLES BLVD",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201971",
            "telephone_number": "219-315-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 CICERO AVE STE 100",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604521480",
            "telephone_number": "219-315-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TYLER",
        "name_prefix": "Ms.",
        "credential": "LMT, CCMA, CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "IN",
            "license": "CNA1003930",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227022331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Microsoft",
            "affiliation": "N",
            "address_1": "15000 Cicero Ave Ste 100",
            "city": "Oak Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604521480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Taylor-Simone Jennings, MSN,RN, C-EFM
• Jill H. Austin, DPM
• John G. Hohner D.O., S.C.
• John H. Stroger, Jr. Hospital of Cook County
• Samantha Johnson
• Jonelle Urgena DDS PC (Oak Forest Dental Wellness)
• Sarah J Jurkovic, PSY.D.
• Kailash C. Sharma MD SC
• James J Katula, ATC
• Cheryl Kaunas, M.A., CCC-SLP

• Massage Therapist in Oak Forest, IL
• Providers in Oak Forest, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.