Rene' Johnson, CMT, LMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019007580 Issued in VA

Practice address

700 Baker Road
Suite 115
Virginia Beach, VA 23462

Phone

(757) 842-9144

Fax

(757) 873-1846

NPI assigned

Apr 20, 2010

Sex

Female

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flex Massage Therapy, Inc

  • Medical Specialty Clinic/Center
  • Virginia Beach, VA
  • NPI 1346746484
  NPD (past) Authorized official

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1831415512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COLISEUM CROSSING",
            "address_2": "SUITE 216",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23666",
            "telephone_number": "757-842-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BAKER ROAD",
            "address_2": "SUITE 115",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-842-9144",
            "fax_number": "757-873-1846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Thimble Shoals Blvd",
            "address_2": "Suite C-4",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "23606",
            "country_code": "US",
            "telephone_number": "757-842-9144",
            "fax_number": "757-873-1846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11790 Jefferson Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "23606",
            "country_code": "US",
            "telephone_number": "757-842-9144 x75784",
            "fax_number": "757-873-1846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 Thimble Shoals Blvd",
            "address_2": "Suite C-4",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "23606",
            "country_code": "US",
            "telephone_number": "757-842-9144",
            "fax_number": "757-873-1846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11790 Jefferson Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "23606",
            "country_code": "US",
            "telephone_number": "757-842-9144 x75784",
            "fax_number": "757-873-1846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RENE'",
        "credential": "CMT, LMT, MMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0019007580",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019007580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melthres Johnson, RN
• Peter Mathew Johnson, MD
• Phylicia Johnson
• Priscilla M Johnson, DDS
• Rachel Johnson, PT, DPT
• Robert Albert Johnson, M.D.
• Sabrina Renee Johnson, LPC
• Samuel James Johnson Jr.
• Shaunte Johnson
• Sherry Johnson

• Massage Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.