Serena Denise Johnson, LPT

Primary specialty

ContractorTaxonomy code 171W00000X

License

PT006315L Issued in PA

Practice address

5151A Walnut Street
Philadelphia, PA 19139

Phone

(610) 733-7539

Fax

(215) 878-8870

NPI assigned

Sep 24, 2010

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": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1720396732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 FORD RD",
            "address_2": "14A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312039",
            "telephone_number": "610-733-7539",
            "fax_number": "215-878-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151A WALNUT STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19139",
            "telephone_number": "610-733-7539",
            "fax_number": "215-878-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SERENA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "PA",
            "license": "PT006315L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruhmon Johnson, , MS,LPC
• Samiyyah Johnson
• Sarah Johnson, M.D.
• Sarah Elizabeth Johnson, LCSW
• Sean William Johnson, NONE
• Shanaya Johnson
• Shaneek D Johnson, MD
• Sheree Johnson
• Sherell Johnson, AGNP-C
• Sheri Monique Johnson, RN

• Contractor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Contractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.