Active NPI
Douglas Scott Johnson, ATC
- Athletic Trainer
- Taylor, MI
National Provider Identifier
1750376232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 21649 Goddard Rd
D386
Taylor, MI 48180-4299 - Phone
- (734) 374-3548
- Fax
- (734) 374-3549
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | MI | Primary |
Addresses
Primary practice location
21649 Goddard Rd
D386
Taylor, MI 48180-4299
Mailing address
19326 Buck Ave
Brownstown, MI 48174-9567
Phone (734) 942-0776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019502401 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1750376232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19326 BUCK AVE",
"city": "BROWNSTOWN",
"state": "MI",
"postal_code": "481749567",
"telephone_number": "734-942-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21649 GODDARD RD",
"address_2": "D386",
"city": "TAYLOR",
"state": "MI",
"postal_code": "481804299",
"telephone_number": "734-374-3548",
"fax_number": "734-374-3549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DOUGLAS",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.