Gregory Johnson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

06-226-0521 Issued in CO

Practice address

7925 W Mansfield Pkwy Unit 303
Lakewood, CO 80235-1955

Phone

(720) 317-7896

NPI assigned

Dec 14, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1418515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418515200000",
    "number": "1932507571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 W MANSFIELD PKWY UNIT 303",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802351955",
            "telephone_number": "720-317-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7925 W MANSFIELD PKWY UNIT 303",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802351955",
            "telephone_number": "720-317-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GREGORY",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-14",
        "last_updated": "2014-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "06-226-0521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danette C Johnson, RPH
• Deann Marie Johnson, RN
• Edward Robert Johnson
• Erica Lynn Johnson
• Erik Johnson, L.AC, BD, DNM
• Hayden Cassidy Johnson
• Heather Johnson, CD(DONA), PCD(DONA)
• Heather Michelle Johnson, RN, BSN
• Joseph Douglas Johnson, M.D.
• Katherine Taite Johnson, D.D.S.

• Athletic Trainer in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.