Navina Susan Johnson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502005858 Issued in MI

Practice address

15475 Middlebelt Rd
Livonia, MI 48154-3805

Phone

(734) 743-4000

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1922648963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16959 CARRIAGE WAY",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686509",
            "telephone_number": "734-259-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15475 MIDDLEBELT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543805",
            "telephone_number": "734-743-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NAVINA",
        "middle_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502005858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "0000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylen Nichelle Johnson
• Marcyne Shawn-Ruth Johnson, LMSW
• Maya Alicia Johnson, LPN
• Melissa Johnson
• Minnie P Johnson
• Rishonda Johnson
• Samiyah Johnson
• Tara Johnson
• Timothy A Johnson, MD
• Tyler Johnson

• Physical Therapy Assistant in Livonia, MI
• Providers in Livonia, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.