JACOB JOHNSON


Address: 116 Elmwood St, Dearborn, MI 48124-1424
Phone: 3135067374

JACOB JOHNSON (NPI# 1912568320) 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) 1912568320
Entity Type Individual
Full Name JACOB JOHNSON
Practice Address 116 Elmwood St
Dearborn
MI 48124-1424
Practice Telephone 3135067374
Mailing Telephone 3135067374
Enumeration Date 2019-06-26
Last Update Date 2019-06-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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1174873723 Jacob Darrell Johnson Physical Therapist 1515 North Center Street, Suite 5, Lonoke, AR 72086 2012-09-11
1962760124 Jacob Daniel Johnson Surgery 15411 Park Village Blvd, Taylor, MI 48180-4886 2012-04-25
1457300477 Jacob Johnson Otolaryngology 450 Sutter St Rm 933, Ste 933, San Francisco, CA 94108-3997 2006-05-08
1750998613 Jacob Luke Johnson Behavior Technician 1520 Nutmeg Pl Ste 110, Costa Mesa, CA 92626-2557 2020-09-24

Office Location

Street Address 116 ELMWOOD ST
City DEARBORN
State MI
Zip Code 48124-1424

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396389524 Pharma A, LLC Pharmacy 23916 Michigan Ave, Dearborn, MI 48124 2019-10-31
1225683725 Aysha Said Behavior Technician 1369 Porter St, Dearborn, MI 48124 2019-08-02
1881257772 Leen Nusairat Internal Medicine Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 2019-04-17
1417413360 Gary C. Veraghen, Dds, PC Dentist 22100 W. Outer Drive, Dearborn, MI 48124 2019-02-15
1982168787 Fnu Asma Manzar Physical Therapist Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 2019-01-25
1639640162 Jernia Lashawn Usher Behavior Technician 1360 Porter St Lower Level, Dearborn, MI 48124 2018-12-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1881178747 Sarah Chehab Psychologist 835 Mason St Suite 220b, Dearborn, MI 48124 2018-09-17
1568948289 Ibrahim M Basma Pharmacist 22521 Michigan Avenue, Dearborn, MI 48124 2018-07-16
1669961942 Jacqueline E Domzalski Technician, Other 3231 S. Gulley, Suite E, Dearborn, MI 48124 2018-05-02
Find all providers in zip 48124

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730787912 Batoul Kassem Specialist/Technologist 6045 Steadman St, Dearborn, MI 48126-2052 2020-10-11
1730723578 Ashley Mattern Specialist/Technologist 3605 Academy St, Dearborn, MI 48124-3382 2019-11-05
1417509902 Alonzo Gerrard Groggins Specialist/Technologist 13800 Ford Rd, Dearborn, MI 48126-3296 2019-07-15
1093367906 Kelly Scala Specialist/Technologist 19501 Outer Dr, Dearborn, MI 48124-1600 2019-07-10
1548610710 Donald Jon Moran Specialist/Technologist 1330 Nightingale St, Dearborn, MI 48128-1007 2016-06-17
1669882783 Alexander Salinas Specialist/Technologist 7716 Bingham St, Dearborn, MI 48126-1174 2014-04-28
1982022653 Kimberly Weindel Specialist/Technologist 4901 Evergreen Rd, 205 Fieldhouse, Dearborn, MI 48128-2406 2014-03-31
1104950112 Kristin A Levin Specialist/Technologist 5225 Auto Club Dr, Dearborn, MI 48126-2620 2007-03-14
1124178066 Angela Marie Hudson Specialist/Technologist 2727 S Gulley Rd, Dearborn, MI 48124-3165 2007-01-11
1518015742 Kerri Anne Burke Specialist/Technologist 24918 Oxford St, Dearborn, MI 48124-2465 2007-01-05
Find all providers in DEARBORN

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City DEARBORN
Zip Code 48124

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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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