David Nathan Johnson, PT, ECS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

367745-2401 Issued in UT

Practice address

52 N 1100 E
American Fork, UT 84003-2952

Phone

(801) 465-6911

NPI assigned

Apr 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Gordon Petty George, MD, PC

  • Pain Medicine (Anesthesiology) Physician
  • Orem, UT
  • NPI 1962439570
  NPD (past)

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861612004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1803",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840591803",
            "telephone_number": "801-367-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 N 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032952",
            "telephone_number": "801-465-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "NATHAN",
        "credential": "PT, ECS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "367745-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS PROVIER NUMBER",
            "identifier": "198045",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadie Rebekah Jensen
• Scott A Jensen, DDS
• Eden Jerome, MFT
• Scott Johansen
• Chad Reed Johnson, PHARMD
• George Brent Johnson, M.D.
• Jill Johnson, M.S. CCC-SLP
• Kyle Johnson, OTR/L, MOT
• Lori Ann Johnson, CCC SLP
• Lucas Johnson

• Physical Therapist in American Fork, UT
• Providers in American Fork, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.