Deidre Ann Johnson, PT, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015161 Issued in NY

Legal business name

DEIDRE ANN JOHNSON, PT, PC

Practice address

2199 Cruger Ave Apt F1
Bronx, NY 10462-1543

Phone

(718) 578-0839

NPI assigned

Nov 17, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Deidre Ann Johnson, PT

Title

Owner

Phone

(718) 578-0839

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1770097487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 CRUGER AVE APT F1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621543",
            "telephone_number": "718-578-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 CRUGER AVE APT F1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621543",
            "telephone_number": "718-578-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIDRE ANN JOHNSON, PT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEIDRE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-578-0839",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ama B Degraft-Johnson, M.D.
• Eric Pietro Degregorio
• Douglas Deguire Jr., MBA
• Shaina Rosaura Dehoyos, MSW
• Daniel Dei, LMSW
• Lorraine W Deirish, NP
• George Deitrick, MD
• Lindsey Rhonda Dejean
• Alba I Dejesus, LMSW
• Damaris Dejesus, MSW

• Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.