Johnsons Dialysis Management LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JOHNSONS DIALYSIS MANAGEMENT LLC

Doing business as

Bingham Care PT

Practice address

17721 Fenkell St
Suite 111
Detroit, MI 48227-1513

Phone

(313) 659-3315

NPI assigned

May 3, 2012

Last updated

May 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Watsene Johnson

Title

Owner

Phone

(313) 659-3315

Specialties & licenses 1

Addresses

Other names 1

• Bingham Care PT Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dawit Teklehaimanot, D.O.

  • Specialist
  • Southfield, MI
  • NPI 1689766065

  Physical Medicine & Rehabilitation

  NPD

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1912266446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17721 FENKELL ST",
            "address_2": "SUITE 111",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17721 FENKELL ST",
            "address_2": "SUITE 111",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271513",
            "telephone_number": "313-659-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSONS DIALYSIS MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WATSENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-659-3315",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bingham Care PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Johnson, RN
• Willie B Johnson III
• Willie Joyce Johnson, NURSING ASSISTANT
• Yulonda Johnson
• Zena Iman Johnson
• Bronwyn Johnston, LMSW, CTP
• Diane Marie Johnston, LLPC
• Jaclyn Johnston, M.A.
• Lyndi Johnston, MA, LPC
• Rebecca Escamilla Johnston, FNP-C

• Physical Medicine & Rehabilitation Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.