Sadie Heather Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306602698 Issued in VA

Practice address

576 Jefferson Ave
McDonald Army Health Center
Fort Eustis, VA 26304

Phone

(757) 314-7666

NPI assigned

Nov 24, 2009

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": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1821326281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 HERMAN MELVILLE AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061378",
            "telephone_number": "815-674-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 JEFFERSON AVE",
            "address_2": "MCDONALD ARMY HEALTH CENTER",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "26304",
            "telephone_number": "757-314-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SADIE",
        "middle_name": "HEATHER",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306602698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnathan Dwight James, PA-C
• Jennah Janney, DPT
• Gregory Paul Jellenek, O.D.
• Daniel Frank Johnson
• Joseph Allen Johnson, D.M.D.
• Brian M Jones, PHARM.D.
• Nicholas Andrew Jones, PA-C
• Rebecca T Jones, PHARM.D.
• Reed Maurice Jordan, PA
• Ruth Jordan

• Physical Therapy Assistant in Fort Eustis, VA
• Providers in Fort Eustis, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.