Suzanne Johnson, PT, MPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22886 Issued in CA

Practice address

649 N 1St Ave
Upland, CA 91786-4714

Phone

(909) 203-3924

NPI assigned

Nov 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1922405679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 N 1ST AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864714",
            "telephone_number": "909-203-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 N 1ST AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864714",
            "telephone_number": "909-203-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUZANNE",
        "credential": "PT, MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22886",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "22886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel R Johnson, D.D.S
• Renee Rose Johnson, MSN, RN, FNP
• Robert Johnson
• Samantha Johnson
• Stephanie Johnson, PSYD
• Tonesha Johnson
• Jonathan Price Chiropractic Inc.
• Brandon Scott Jones, DPT
• Gary Lee Jones, M.A.
• Jessica Jones

• Physical Therapist in Upland, CA
• Providers in Upland, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.