Active NPI
Philip Johnson, M.S., ATC
- Athletic Trainer
- Ypsilanti, MI
National Provider Identifier
1801852405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2336 Draper Ave
Ypsilanti, MI 48197-4312 - Phone
- (734) 528-9168
- NPI assigned
- Apr 22, 2006
- 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 | Primary |
Addresses
Primary practice location
2336 Draper Ave
Ypsilanti, MI 48197-4312
Mailing address
2336 Draper Ave
Ypsilanti, MI 48197-4312
Phone (734) 528-9168
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1801852405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 DRAPER AVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481974312",
"telephone_number": "734-528-9168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 DRAPER AVE",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481974312",
"telephone_number": "734-528-9168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "PHILIP",
"name_prefix": "Mr.",
"credential": "M.S., ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, 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.