Todd Anthony Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

108002 Issued in MO

Practice address

1500 Meadow Lake Pkwy
Kansas City, MO 64114-1600

Phone

(816) 838-4731

NPI assigned

Nov 16, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1384560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384560000000",
    "number": "1710317474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25700 E 30TH TER S",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640151112",
            "telephone_number": "816-405-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MEADOW LAKE PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641141600",
            "telephone_number": "816-838-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TODD",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-16",
        "last_updated": "2013-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02814",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "108002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suellen Caroline Cruz Johnson
• Tamica Titanya Johnson
• Tara Johnson, NP
• Thomas M Johnson, PHARMD
• Timothy D. Johnson, D.O.
• Tressa Johnson
• Twyla Arielle Johnson, FNP-C
• Tyler Joseph Johnson
• Vanessa N. Johnson, P.A.
• Vernice Lynn Johnson, COSMETOLOGIST

• Physical Therapist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2013; 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.