MS. JUMAAH INGRAM JOHNSON


Address: 1616 Walnut St, Suite 210, Philadelphia, PA 19103-5313
Phone: 2155458717

MS. JUMAAH INGRAM JOHNSON (NPI# 1891764213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891764213
Entity Type Individual
Full Name MS. JUMAAH INGRAM JOHNSON
Credential DPT
Practice Address 1616 Walnut St
Suite 210
Philadelphia
PA 19103-5313
Mailing Address 420 Bainbridge St
Philadelphia
PA 19147-1568
Practice Telephone 2155458717
Practice Fax Number 2155459355
Mailing Telephone 2156291270
Mailing Fax Number 2156295531
Enumeration Date 2006-03-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist PT017980 PA Other Service Providers

Office Location

Street Address 1616 WALNUT ST
SUITE 210
City PHILADELPHIA
State PA
Zip Code 19103-5313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639177744 Joseph T. Ruhl Jr. Physical Therapist 1616 Walnut St, Suite 210, Philadelphia, PA 19103-5313 2005-07-12
1154689826 Jessica Anderson Psychologist 1616 Walnut St, 2108, Philadelphia, PA 19103-5313 2012-05-01
1235424300 Ellen Singer Coleman Social Worker 1616 Walnut St, Suite 1108, Philadelphia, PA 19103-5313 2011-06-16
1366750515 Danna R. Bodenheimer Social Worker 1616 Walnut St, Suite 1610, Philadelphia, PA 19103-5313 2010-09-22
1396051389 Rittenhouse Sleep Medicine LLC Psychiatry & Neurology 1616 Walnut St, 312-c, Philadelphia, PA 19103-5313 2010-08-27
1124262530 Robert M. Toborowsky Psychiatry & Neurology 1616 Walnut St, Suite 1116, Philadelphia, PA 19103-5313 2009-04-29
1164673596 Susan Mary Moslow Psychologist 1616 Walnut St, Suite 1108, Philadelphia, PA 19103-5313 2008-10-03
1679735880 Rachel Ginzberg Psychologist 1616 Walnut St, Suite 806, Philadelphia, PA 19103-5313 2008-06-28
1619164563 David Gregory Digiovanni Physical Therapist 1616 Walnut St, Lower Lobby, Philadelphia, PA 19103-5313 2007-09-25
1053516427 Julie Lynn Everett Physical Therapist 1616 Walnut St, Suite 210, Philadelphia, PA 19103-5313 2007-06-18
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1740784586 Sara Elizabeth Macintyre Speech-Language Pathologist 1845 Walnut Street Suite 1540, Philadelphia, PA 19103 2018-03-19
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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1740758168 William Whitaker Specialist 1115 E Sanger St, Philadelphia, PA 19124-1130 2018-11-02
1902395536 Ran Barzilay Specialist 3440 Market St, Suite 200, Philadelphia, PA 19104 2018-05-09
1093229668 Danielle M Marshall Specialist 514 Seville St Apt 7, Philadelphia, PA 19128-2737 2017-11-19
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1447796172 Kristen Halvorson Specialist 3411 Cresson St, Apartment 6, Philadelphia, PA 19129-1654 2017-01-19
1174079131 Sadia Randolph Specialist 6718 Paschall Ave, Philadelphia, PA 19142-1809 2016-08-30
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Competitor

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City PHILADELPHIA
Zip Code 19103

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Dataset Information

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.

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