Christopher Milo Johnson, PT
Individual provider Active NPI Physical Therapist · Bisbee, AZ
NPI 1881768638 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881768638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1530 (AZ)
- Practice address
- 101 Cole Ave
Bisbee, AZ 85603-1327 - Phone
- (520) 432-6435
- Fax
- (520) 432-6242
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1530 | AZ | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1530 | AZ | Yes |
Addresses
Primary practice location
101 Cole Ave
Bisbee, AZ 85603-1327
Mailing address
311 Mill Rd
Bisbee, AZ 85603-1716
Phone (520) 456-4524
Other providers in Bisbee, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.