Ryan Johnson, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT5557 Issued in TX

Practice address

Asu Station #10899
San Angelo, TX 76909

Phone

(325) 486-6047

NPI assigned

Nov 11, 2014

Last updated

Jan 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1790181212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 LUCAS ST APT D",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304180",
            "telephone_number": "682-552-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASU STATION #10899",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76909",
            "telephone_number": "325-486-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RYAN",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-11",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "1467",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Henderson MD Fapa, PLLC
• Amanda C. John, APRN-FNP
• Glenda Johnson, LVN
• Karren Johnson, LCSW
• Kavin Wood Johnson, M.S., L.P.C.
• Paula Jeanne Jolley, SLP
• Charles M Jones, MD
• George E Jones Jr., PHARMD
• Justin Clay Jones, M.D.
• Kaheem Jones

• Athletic Trainer in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.