MR. SCOTT PATRICK JOHNSON (NPI# 1700948833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700948833 |
| Entity Type | Individual |
| Full Name | MR. SCOTT PATRICK JOHNSON |
| Credential | A.T.,C |
| Practice Address |
1611 Scenic Dr Modesto CA 95355-4907 |
| Mailing Address |
901 Edison Ave Modesto CA 95350-5548 |
| Practice Telephone | 2095761805 |
| Mailing Telephone | 2095440984 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861954497 | Scott Johnson | Durable Medical Equipment & Medical Supplies | 1014 Everest Blvd, Wausau, WI 54403-5057 | 2019-04-02 |
| 1033630033 | Scott Charles Johnson | Counselor | 40853 Cecina Way, Bermuda Dunes, CA 92203-1171 | 2017-06-29 |
| 1487106753 | Scott Johnson | Counselor | 104 Usher St, Bennettsville, SC 29512-2710 | 2016-11-02 |
| 1861840738 | Scott Johnson | Contractor | 6139 S Garrison St, Littleton, CO 80123-3437 | 2016-06-01 |
| 1861893984 | Scott Andrew Johnson | Social Worker | 1250 William Floyd Pkwy, Shirley, NY 11967-1809 | 2014-09-08 |
| 1376825356 | Scott Andrew Johnson | Physical Therapist | 51600 Huntington Rd Ste B, La Pine, OR 97739-8887 | 2011-09-15 |
| 1801125075 | Scott Rene Johnson | Pharmacist | 6803 Pinehearth Ct, Spring, TX 77379 | 2009-12-16 |
| 1437367919 | Scott Alan Johnson | Physical Therapist | 91 Goldengate Drive, Centerville, OH 45459 | 2007-05-18 |
| 1063629293 | Scott Marvin Johnson | Pharmacist | 15100 N 90th St, Scottsdale, AZ 85260-2769 | 2007-05-17 |
| 1275740458 | Scott Johnson | Marriage & Family Therapist | 920 Nellies Cave Rd, Blacksburg, VA 24060-6029 | 2007-05-17 |
| Street Address |
1611 SCENIC DR |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427110055 | Sky Park Health Care Inc. | Skilled Nursing Facility | 1611 Scenic Dr, Modesto, CA 95355-4907 | 2006-12-13 |
| 1326445636 | Care West Home Care Inc | Home Health | 1611 Scenic Dr, Modesto, CA 95355-4907 | 2014-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462237 | Lorenzo Aguirre | Specialist/Technologist | 1836 Lapham Dr, Modesto, CA 95354-3900 | 2020-09-17 |
| 1285278366 | Danielle Corissa York | Specialist/Technologist | 523 Glass Ln Ste 4a, Modesto, CA 95356-9233 | 2019-11-01 |
| 1659839058 | Joseph Wayne Mayhan | Specialist/Technologist | 2829 Pamplona Way, Modesto, CA 95354-2016 | 2019-03-05 |
| 1316450380 | Britney Abe | Specialist/Technologist | 4800 Sisk Rd, Modesto, CA 95356-8730 | 2017-11-13 |
| 1093241804 | Aaron Joel Severin | Specialist/Technologist | 1630 W Orangeburg Ave, Modesto, CA 95350-3805 | 2017-05-11 |
| 1861939159 | Courtney Steele | Specialist/Technologist | 1424 Fransen Ln, Modesto, CA 95355-3658 | 2017-01-24 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1265986517 | Jamie Pheap | Specialist/Technologist | 1407 Harris Ave, Modesto, CA 95351-2410 | 2016-08-03 |
| 1326591736 | Gumaro Diaz IIi | Specialist/Technologist | 326 Lelah Ave, Modesto, CA 95350-4416 | 2016-08-02 |
| 1144687856 | Lehong Sunny Hong | Specialist/Technologist | 2617 Riverbend Dr, Modesto, CA 95351-7601 | 2016-01-26 |
| Find all providers in MODESTO | ||||
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| 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.