Alisa Joy Johnson, L.M.T., PH.D.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

92449 Issued in FL

Practice address

1801 Forest Hills Blvd
Ste 202
Bella Vista, AR 72715-3016

Phone

(479) 899-1794

NPI assigned

Jul 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1821251273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7132 SW 4TH RD UNIT 216",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076806",
            "telephone_number": "479-899-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FOREST HILLS BLVD",
            "address_2": "STE 202",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727153016",
            "telephone_number": "479-899-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALISA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "L.M.T., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "92449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Hopper
• Bethany Aaron Howard
• Sara Huneycutt
• Amy M Hunter, AUD, CCC-A
• Jennifer Jo Jennings, APN
• Scott Johnson, PTA
• Tara Joiner, LPC
• Kim David Keisner, D.D.S.
• Kyle Ryan Keith
• Nicole K Keller, AU.D.

• Massage Therapist in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Massage Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2020; 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.