Harold Hazen Johnson Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

J2-0000996 Issued in DE

Practice address

17028 Cadbury Cir.
Cadbury at Lewes
Lewes, DE 19958

Phone

(302) 703-6087

NPI assigned

Nov 24, 2015

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1689048951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23328 HORSE ISLAND RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583344",
            "telephone_number": "206-799-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17028 CADBURY CIR.",
            "address_2": "CADBURY AT LEWES",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "19958",
            "telephone_number": "302-703-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HAROLD",
        "middle_name": "HAZEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DE",
            "license": "J2-0000996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jock, RN
• Judith Johnson-Shupe, LCSW
• Brenna Erin Johnson, BSN, RN
• Erin Johnson, SCHOOL PSYCHOLOGIST
• Gina M Johnson, COTA/L
• James Benjamin Johnson, PT
• Kristina Johnson
• Annabelle Jones
• Blair Allen Jones, DMD
• Brianna Jones, OT

• Physical Therapy Assistant in Lewes, DE
• Providers in Lewes, DE by specialty
• Physical Therapy Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.