SAMANTHA ASHLEY JOHNSON (NPI# 1649704990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649704990 |
Entity Type | Individual |
Full Name | SAMANTHA ASHLEY JOHNSON |
Credential | DPT |
Practice Address |
4750 Bryant Irvin Road N Fort Worth TX 76107 |
Mailing Address |
13034 Partridge Bend Drive Austin TX 78729 |
Practice Telephone | 8179239000 |
Mailing Telephone | 5127893417 |
Enumeration Date | 2017-04-13 |
Last Update Date | 2017-04-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1263686 | TX | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386244101 | Samantha Johnson | Technician | 46 Brigadere Cir, Martinsburg, WV 25404-7006 | 2020-10-30 |
1235738816 | Samantha Nicole Johnson | Home Health Aide | 1785 State Route 28 Lot 421, Goshen, OH 45122-9339 | 2020-10-23 |
1780293696 | Samantha Jo Johnson | Dietitian, Registered | 2854 Greenbrier Rd, Green Bay, WI 54311-6528 | 2020-07-27 |
1124548201 | Samantha K Johnson | Chiropractor | 187 East Main, Ellsworth, WI 54011 | 2017-06-21 |
1831647437 | Samantha Johnson | Nurse Practitioner | 450 E Harvard Ave, Denver, CO 80210 | 2016-09-13 |
1154778413 | Samantha Jo Johnson | Obstetrics & Gynecology | 232 Aldridge Ave, Summersville, WV 26651-1802 | 2016-05-17 |
1922466580 | Samantha Johnson | Dentist | 3719 Old Alabama Rd Ste 400-b, Johns Creek, GA 30022-8692 | 2016-02-10 |
1184052383 | Samantha Johnson | Speech-Language Pathologist | 250 Jaguar Trl, Ridgeland, SC 29936-5497 | 2013-10-24 |
1174879639 | Samantha Ann Johnson | Specialist | 422 100th St, 1st Floor, Brooklyn, NY 11209-8309 | 2012-08-01 |
1033476734 | Samantha Brooke Johnson | Occupational Therapy Assistant | 928 Old Smithville Road, Mcminnville, TENNESSEE 37110 | 2012-04-18 |
Street Address |
4750 BRYANT IRVIN ROAD N |
City | FORT WORTH |
State | TX |
Zip Code | 76107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
Find all providers in zip 76107 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962022970 | R3 Physiotherapy | Clinic/Center | 11601 Emory Trl, Fort Worth, TX 76244-8805 | 2020-04-20 |
1962048470 | Maurice Perry Jr. | Clinic/Center | 3425 Mclean St, Fort Worth, TX 76103-2507 | 2019-11-19 |
1508415563 | Wheel Make You Mobile Consultants LLC | Clinic/Center | 5541 Murton Pl, Fort Worth, TX 76137-3763 | 2019-09-11 |
1376927251 | Optimove Physical Therapy & Wellness LLC | Clinic/Center | 2307 Gravel Dr, Fort Worth, TX 76118-6951 | 2015-07-10 |
1023244332 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 1 Lockheed Blvd, Fort Worth, TX 76108-3619 | 2009-06-02 |
1295972990 | Elite Healthcare Fort Worth | Clinic/Center | 112 N. Beach St., Fort Worth, TX 76111 | 2009-01-16 |
1235314949 | Fine Spine, LLC | Clinic/Center | 6800 Manhattan Blvd, Bg 1 Ste 100, Fort Worth, TX 76120-1200 | 2008-01-02 |
1013949445 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2500 West Freeway, Suite 100, Fort Worth, TX 76102 | 2006-07-07 |
1669405551 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 1132 Everman Parkway, Fort Worth, TX 76140 | 2006-07-07 |
1356373708 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 4060 Sandshell Drive, Fort Worth, TX 76137 | 2006-07-07 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76107 |
Please comment or provide details below to improve the information on SAMANTHA ASHLEY JOHNSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.