Carmen Marie Johnson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18315 Issued in OR

Practice address

45 NW Greeley Ave
Bend, OR 97703-2943

Phone

(541) 390-8364

NPI assigned

Jan 5, 2016

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1710343843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 NW GREELEY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032943",
            "telephone_number": "541-390-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NW GREELEY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032943",
            "telephone_number": "541-390-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CARMEN",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marta S Johnson-Mitchell, DO
• Andrew James Johnson, MD
• Bette T. Johnson, APN
• Bradley E Johnson, DMD
• Brett Johnson, PT
• Dana M Johnson, CPM, LM
• Elizabeth Marsh Johnson
• Gabrielle Johnson
• James Edward Johnson, MD
• Jeffrey J. Johnson, D.D.S.

• Massage Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.