Richard Johansen Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5622 Issued in FL

Legal business name

RICHARD JOHANSEN PHYSICAL THERAPY INC

Practice address

17 NW 33Rd CT
Gainesville, FL 32607-2552

Phone

(352) 372-8790

Fax

(352) 372-8908

NPI assigned

Oct 3, 2005

Last updated

Apr 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard A Johansen, PHYSICAL THERAPIST

Title

President

Phone

(352) 372-8970

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1982691176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NW 33RD CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072552",
            "telephone_number": "352-372-8790",
            "fax_number": "352-372-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NW 33RD CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072552",
            "telephone_number": "352-372-8790",
            "fax_number": "352-372-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD JOHANSEN PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-372-8970",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT5622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y5403",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoya Rich
• Shayna Rich, MD, PHD
• Richard a Griffin, OD & Associates, LLC
• Richard C Childers MD PA
• Richard Gorenberg, MD, PA
• Aijay Richards, APRN
• Collin Thomas Richards, M.ED, ED.S
• Hanno B Richards, MD
• Johnathan Richards, APRN
• Marcus Richards

• Physical Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.