Miranda Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2011011359 Issued in MO

Practice address

25023 Bothwell Park Rd
Sedalia, MO 65301-0084

Phone

(660) 827-3993

NPI assigned

Aug 30, 2011

Sex

Female

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1992086326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 563",
            "city": "STOVER",
            "state": "MO",
            "postal_code": "650780563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25023 BOTHWELL PARK RD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653010084",
            "telephone_number": "660-827-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MIRANDA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2011011359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe M. Bennett, D.O., & Associates, P.C.
• Joel D Chappell DDS PC
• John T Finley Inc
• Janice Renee Johnson, RN, BSN, IBCLC
• Kathleen Johnson
• Jonathan R Ehlers DDS PC
• Laura Jones, MOT, OTR/L
• Lauren Madeleine Joniak, RDH
• Joseph a. Vaughn D.D.S. Orthodontics LLC
• Julie Hardy L.L.C

• Physical Therapy Assistant in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.