Juanita Lucinda Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2082 Issued in SC

Practice address

690 Medical Park Dr
Aiken, SC 29801-6348

Phone

(803) 648-8344

NPI assigned

Aug 13, 2007

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

State licenses

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1821280090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 MOUNT BEULAH RD",
            "city": "WINDSOR",
            "state": "SC",
            "postal_code": "298562620",
            "telephone_number": "803-645-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MEDICAL PARK DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016348",
            "telephone_number": "803-648-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUANITA",
        "middle_name": "LUCINDA",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Johnson
• Ebony Johnson
• Elisha Michelle Johnson, NCC
• Jean Ann Johnson, PHYSICAL THERAPIST
• Jennifer Lashall Johnson, CMSW
• Laura Ann Johnson
• Pamela Johnson, LAC
• Phyllis A Johnson, LPN
• Piper Johnson, OTR/L
• Sarah Johnson, DNP, FNP-BC

• Physical Therapy Assistant in Aiken, SC
• Providers in Aiken, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.