Jordan Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39562 Issued in FL

Practice address

3325 Hollywood Blvd Ste 200
Hollywood, FL 33021-6926

Phone

(954) 986-2299

NPI assigned

Jan 23, 2023

Sex

Male

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1831804061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 HOLLYWOOD BLVD STE 200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216926",
            "telephone_number": "954-986-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 HOLLYWOOD BLVD STE 200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216926",
            "telephone_number": "954-986-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "39562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Johnson II, M D
• Christopher Johnson, DO
• Delecia. Johnson
• Emilee Ann Johnson, CRNA
• Harvey William Johnson, PHARM D
• Julia Johnson
• Kira Tanaye Johnson, MSW
• Geethu Johny, M.S.
• Mitchell G Jomsky, D.C.
• Jonathan R Weiser MD PA

• Physical Therapist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.