Active NPI
Akilah Johnson, LMT
- Sports Medicine (Preventive Medicine) Physician
- Avondale, AZ
National Provider Identifier
1902735350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Preventive Medicine) Physician
- License
- MT-28848
- Practice address
- 11120 W Van Buren St Apt 2033
Avondale, AZ 85323-7291 - Phone
- (602) 873-4075
- NPI assigned
- May 13, 2026
- Last updated
- May 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | MT-28848 | AZ | Primary |
Addresses
Primary practice location
11120 W Van Buren St Apt 2033
Avondale, AZ 85323-7291
Mailing address
11120 W Van Buren St Apt 2033
Avondale, AZ 85323-7291
Phone (602) 873-4075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT-28848 | AZ | MD | Sports Medicine (Preventive Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1902735350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 W VAN BUREN ST APT 2033",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853237291",
"telephone_number": "602-873-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 W VAN BUREN ST APT 2033",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853237291",
"telephone_number": "602-873-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "AKILAH",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-13",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "2083S0010X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Sports Medicine",
"state": "AZ",
"license": "MT-28848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.