Amarissa Johnson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5097 Issued in NM

Practice address

4516 Arrowhead Ridge Dr SE
Rio Rancho, NM 87124-5932

Phone

(505) 896-4978

NPI assigned

Jul 27, 2017

Last updated

Oct 14, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Armada Physical Therapy of Albuquerque LLCGroup PAC ID 9830328954, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Armada Physical Therapy of Albuquerque LLC

  dba Armada Physical Therapy

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1851713663
  Medicare reassignment Care Compare group NPD
• New Mexico Sports & Physical Therapy

  • Physical Therapy Clinic/Center
  • Santa Fe, NM
  • NPI 1831242999
  NPD (past)
• New Mexico Sports & PT

  • Physical Therapy Clinic/Center
  • Santa Fe, NM
  • NPI 1427130137
  NPD (past)

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1942724307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 ARROWHEAD RIDGE DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245932",
            "telephone_number": "505-896-4978",
            "fax_number": "505-994-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 ARROWHEAD RIDGE DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245932",
            "telephone_number": "505-896-4978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2954 Rodeo Park Dr W",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875056351",
            "country_code": "US",
            "telephone_number": "505-424-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMARISSA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "5097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jabez Babu John, MD
• Pamela M John
• Trent Lamar John, L.P.C.C.
• Victoria Johnson-Gonzales, LMSW
• Aleksei Drew Johnson, MA, BCBA
• Anne Marie Johnson, RN
• Breanna Johnson
• Dallen M Johnson, CAA. MSA
• Heather Elizabeth Marie Johnson, CNP
• Heather L Johnson, FSS

• Physical Therapist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.