Micheal P Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-01856 Issued in KS

Practice address

1311 Wakarusa Dr Ste 1000
Lawrence, KS 66049-1741

Phone

(785) 749-1300

Fax

(785) 749-4746

NPI assigned

Apr 15, 2022

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

Other identifiers 1

Electronic endpoints 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": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1962145268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR STE 1000",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491741",
            "telephone_number": "785-749-1300",
            "fax_number": "785-749-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 WAKARUSA DR STE 1000",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660491741",
            "telephone_number": "785-749-1300",
            "fax_number": "785-749-4746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHEAL",
        "middle_name": "P",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-01856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "225100000X",
            "identifier": "1401856",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@therapyworkskansas.com",
            "affiliation": "N",
            "address_1": "1311 Wakarusa Dr Ste 1000",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660491741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Lynn Johnson, LMSW
• Kristine L Johnson, PHD
• Kyla Aileen Johnson, COTA/L
• Lynda Denise Johnson, ARNP
• Mary Kathryn Johnson
• Michelena Johnson, COTA/L
• Nancy Alice Johnson, MSW, LSCSW
• Olivia Johnson
• Roger B Johnson, MD
• Stacy Johnson, MS, LCPC, RPT-S

• Physical Therapy Assistant in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.