Natasha Lynn Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA3954 Issued in ME

Practice address

758 Broadway
Bangor, ME 04401-3224

Phone

(207) 941-8400

NPI assigned

Mar 13, 2023

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

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1992406508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 WORKS RD",
            "city": "JACKSON",
            "state": "ME",
            "postal_code": "049213212",
            "telephone_number": "207-570-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013224",
            "telephone_number": "207-941-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NATASHA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA3954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadine Johns
• Anne Johnson, DPT
• Jessica L Johnson, PHARMD
• Liela Banks Johnson
• Linda A. Johnson, RN
• Owen Johnson, DDS
• Erin Grace Johnston-Fennell, LMSW-CC
• Brandon R Jolley, DDS
• Brooklin R Jones-Banahan, LCSW
• Amy Jones, RPH

• Physical Therapy Assistant in Bangor, ME
• Providers in Bangor, ME by specialty
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.