JEREMY JOHNSON (NPI# 1720561863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720561863 |
| Entity Type | Individual |
| Full Name | JEREMY JOHNSON |
| Credential | CTRS |
| Practice Address |
3414 Curtis Dr Suitland MD 20746-4935 |
| Practice Telephone | 2022712395 |
| Mailing Telephone | 2022712395 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 59263 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1851874051 | 05 | |
| MD | MARYLAND | 83-1623156 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243493 | Jeremy Johnson | Specialist/Technologist, Other | 1016 Winding Way Dr, Georgetown, TX 78628-5201 | 2020-07-24 |
| 1801421409 | Jeremy Ray Johnson | Chiropractor | 4155 N Steele Blvd Ste 10, Fayetteville, AR 72703-5377 | 2020-03-04 |
| 1578197984 | Jeremy Ezra Johnson | Specialist/Technologist | 331 Tramway Dr # 16, Stateline, NV 89449-9812 | 2020-02-24 |
| 1194368779 | Jeremy Paul Johnson | Acupuncturist | 1500 W Farwell Ave Apt 3, Chicago, IL 60626-3666 | 2019-10-25 |
| 1457838922 | Jeremy Braxton Johnson | Dietitian, Registered | 283 Walnut St, Baxley, GA 31513-0954 | 2018-07-26 |
| 1306384524 | Jeremy Johnson | Physical Therapy Assistant | 653 Golden Trl, Cave City, AR 72521-9432 | 2017-02-08 |
| 1992186530 | Jeremy Johnson | Student in an Organized Health Care Education/Training Program | 1141 154th Ave Ne, Mayville, ND 58257 | 2015-06-09 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1811374549 | Jeremy V Johnson | Family Medicine | 500b Jefferson Blvd Ste 180, West Sacramento, CA 95605-2394 | 2015-05-01 |
| 1902200660 | Jeremy Johnson | Counselor | 1022 N Prospect St, Bowling Green, OH 43402-1335 | 2014-10-09 |
| Street Address |
3414 CURTIS DR |
| City | SUITLAND |
| State | MD |
| Zip Code | 20746-4935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851874051 | Social Society | Recreation Therapist | 3414 Curtis Dr, Suitland, MD 20746-4935 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083186217 | A1 Surgical Services L.L.C. | Specialist/Technologist, Other | 6710 Oxon Hill Rd #150, Oxon Hill, MD 20746 | 2018-12-28 |
| 1316427610 | Ryan Rehabilitation LLC | Counselor | 5210 Auth Rd Ste 100, Suitland, MD 20746 | 2018-08-16 |
| 1669968616 | Monica Heleine Veney | Home Health | 3220 Swann Rd Apt 102, Suitland, MD 20746 | 2018-07-02 |
| 1578078804 | Center for Pain Management, LLC | Pain Medicine | 5801 Allentown Road, 503, Suitland, MD 20746 | 2017-12-08 |
| 1811424153 | Dimonique Brandon | Home Health Aide | 4260, Suitland Rd Apt 104, Suitland, MD 20746 | 2017-05-17 |
| 1831559772 | Commie Anana | Pharmacist | 4705 Silver Hill Rd, Suitland, MD 20746 | 2016-03-04 |
| 1821475682 | Maryland Care of Camp Springs LLC | Clinic/Center | 4703 Old Soper Road, Suite R-1, Camp Springs, MD 20746 | 2015-04-30 |
| 1356759708 | Therapy Associates, LLC | Physical Therapist | 5625 Allentown Road, Suite 200, Suitland, MD 20746 | 2014-07-29 |
| 1710223441 | Rosemary Ufumwen | Home Health Aide | 3928 Suitland Road, 3, Suitland, MD 20746 | 2012-12-28 |
| 1174798250 | Seanta Renitta Cleveland | Specialist/Technologist | 5602 Auth Way, Camp Springs, MD 20746 | 2008-04-29 |
| Find all providers in zip 20746 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851874051 | Social Society | Recreation Therapist | 3414 Curtis Dr, Suitland, MD 20746-4935 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373159 | Daniel Vigus | Recreation Therapist | 59 Ave D, Perry Point, MD 21902 | 2020-10-15 |
| 1740829423 | Rosemarie Velez-miggins | Recreation Therapist | 1605 Billman Ln, Silver Spring, MD 20902-1417 | 2019-12-30 |
| 1942738307 | Piper Miechelle Andrews | Recreation Therapist | 6119 Silver Leaf Ln, District Heights, MD 20747-2814 | 2017-05-30 |
| 1316322308 | Hellams Fitness 2 Inc | Recreation Therapist | 9900 Greenbelt Rd Ste E-210, Lanham, MD 20706-2255 | 2015-07-20 |
| 1558643197 | Turkessa Shermaine Johnson | Recreation Therapist | Ave D, Pmrs 117, Perry Point, MD 21902 | 2011-09-09 |
| 1609175249 | Marian Anne Jones | Recreation Therapist | Avenue D, Bldg. 314, Perry Point Va Hospital, Perry Point, MD 21902 | 2011-03-22 |
| 1508165549 | Martin John Mcfadden | Recreation Therapist | Building 14h Va Maryland Health Care System, Recreation Therapy Service Pp/117/rt, Perry Point, MD 21902 | 2011-03-16 |
| 1225223977 | Steven Michael Walker | Recreation Therapist | Building 22h Ave D, Perry Point, MD 21902 | 2007-09-06 |
| 1285827931 | Sandra M Miller | Recreation Therapist | 314 D Ave., 102rt, Perry Point, MD 21902 | 2007-08-24 |
| 1255700522 | Hellamsm Fitness Inc | Recreation Therapist | 9900 Greenbelt Rd Ste E-210, Lanham, MD 20706-2255 | 2015-09-17 |
| Find all providers with the same taxonomy | ||||
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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.