Robert Brandon Johnson, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022143 Issued in PA

Practice address

82 N Main St
Suite 1
Carbondale, PA 18407-1914

Phone

(570) 282-0200

NPI assigned

Nov 15, 2012

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.

• Pivot Physical Therapy of Pennsylvania, LLC

  • Physical Therapist
  • South Abington Township, PA
  • NPI 1881132488
  NPD (past)
• Procare Physical Therapy Inc

  • Physical Therapist
  • Towanda, PA
  • NPI 1003876319
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1871837864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SWISTRO RD",
            "city": "JACKSON",
            "state": "PA",
            "postal_code": "188259563",
            "telephone_number": "570-442-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 N MAIN ST",
            "address_2": "SUITE 1",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071914",
            "telephone_number": "570-282-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "022143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Humphreys, LCSW
• Caitanne Mary Jaggars, MA, CCC-SLP
• Eugene Leslie Jennings, M.D.
• JM Mancuso Enterprise Inc
• JM Mancuso Inc
• Annlatish Jones, LBS
• Chelsie Marie Jones
• Lindsey Jordan
• Joseph S. Soliman, MD PC
• Just Believe Recovery Center of Carbondale

• Physical Therapist in Carbondale, PA
• Providers in Carbondale, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.