Organization Active NPI

Johnson Prosthetics & Orthotics LLC

  • Prosthetic/Orthotic Supplier
  • Fort Smith, AR
National Provider Identifier
1750295564
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
JOHNSON PROSTHETICS & ORTHOTICS LLC
Practice address
6601 Phoenix Ave Ste a
Fort Smith, AR 72903-5092
Phone
(479) 222-9932
Fax
(479) 222-2278
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHNSON PROSTHETICS & ORTHOTICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Greg Johnson
Title
Cpo
Phone
(479) 485-3366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Prosthetic/Orthotic Supplier 335E00000X NU Primary

Addresses

Primary practice location

6601 Phoenix Ave Ste a
Fort Smith, AR 72903-5092

Mailing address

1742 E Joyce Blvd Ste 1
Fayetteville, AR 72703-5260
Phone (480) 658-7811

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1750295564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 E JOYCE BLVD STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035260",
            "telephone_number": "480-658-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 PHOENIX AVE STE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035092",
            "telephone_number": "479-222-9932",
            "fax_number": "479-222-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON PROSTHETICS & ORTHOTICS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNSON PROSTHETICS & ORTHOTICS LLC",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CPO",
        "authorized_official_telephone_number": "479-485-3366"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.