Mitch A Johnson, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1777 Issued in NE

Practice address

1817 N 169TH PLZ Ste B
Omaha, NE 68118-2822

Phone

(402) 932-8108

Fax

(402) 932-8109

NPI assigned

Jun 12, 2018

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

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.

• Balanced Body Acupuncture & Chiropractic, LLC.

  • Chiropractor
  • Omaha, NE
  • NPI 1205182557
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1861985012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 N 169TH PLZ STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182822",
            "telephone_number": "402-932-8108",
            "fax_number": "402-932-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 N 169TH PLZ STE B",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182822",
            "telephone_number": "402-932-8108",
            "fax_number": "402-932-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MITCH",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NE",
            "license": "1777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Johnson
• Michaela Johnson
• Michalea Johnson
• Michelle Johnson
• Michelle Frances Johnson, M.D.
• Molly G Johnson, MA CCC-SLP
• Molly M Johnson, APRN
• Monica Krause Johnson, MD
• Monique Johnson
• Myjhae Johnson

• Massage Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Massage Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.