MR. TYLER JOHNSTON (NPI# 1063048965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063048965 |
| Entity Type | Individual |
| Full Name | MR. TYLER JOHNSTON |
| Credential | DPT |
| Practice Address |
2341 Lewisville Clemmons Rd Clemmons NC 27012-8905 |
| Mailing Address |
170 Kimel Park Dr Winston Salem NC 27103-6946 |
| Practice Telephone | 3367133275 |
| Mailing Telephone | 3367133275 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
15826 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445253 | Tyler Louis Johnston | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-09 |
| 1639734403 | Tyler Johnston | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2019-05-07 |
| 1174012892 | Tyler K Johnston | Specialist/Technologist | 3140 Waialae Ave, Honolulu, HI 96816-1510 | 2018-05-08 |
| 1316364300 | Tyler Johnston | Physical Therapist | 2450 Wolf Rd, Suite E, Westchester, IL 60154-5643 | 2014-03-27 |
| 1881031177 | Tyler Johnston | Orthopaedic Surgery | 101 The City Dr S Bldg 29a, Orange, CA 92868-3201 | 2013-05-28 |
| 1053591891 | Tyler Johnston | Counselor | 3765 S Higuera St Ste 100, San Luis Obispo, CA 93401-1577 | 2007-11-09 |
| Street Address |
2341 LEWISVILLE CLEMMONS RD |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27012-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871546721 | Clark William Pinyan | Psychiatry & Neurology | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2006-05-19 |
| 1841803384 | Lauren Fennell Loeb | Midwife | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2020-08-25 |
| 1316574221 | Wilfred Gerald Summers Jr. | Physical Therapist | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2020-03-23 |
| 1336775477 | Darin Nolting | Physical Therapist | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2020-03-20 |
| 1164055208 | Carolyn Wilkinson | Audiologist | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2020-02-18 |
| 1285983288 | Jillian Victoria Palmer | Audiologist | 2341 Lewisville Clemmons Rd, 3rd Floor Audiology, Clemmons, NC 27012-8905 | 2012-09-05 |
| 1992054977 | Martha Elaine Orcutt | Audiologist | 2341 Lewisville Clemmons Rd, 3rd Floor- Audiology, Clemmons, NC 27012-8905 | 2012-09-05 |
| 1437333846 | Beck Deal Mcallister | Orthopaedic Surgery | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2007-12-20 |
| 1700066321 | Edwin Andrew Stevens | Neurological Surgery | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2007-11-12 |
| 1477609063 | Kimberly Dawn Zander | Obstetrics & Gynecology | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 1912323635 | Lutheran Home - Forsyth County, Inc. | Skilled Nursing Facility | 7449 Fair Oaks Drive, Clemmons, NC 27012 | 2014-03-06 |
| 1487910758 | Kelly Elizabeth Kirkpatrick | Specialist/Technologist | 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 | 2012-04-11 |
| 1366613663 | Psimed Pa | Psychiatry & Neurology | 2511-d Neudorf Rd, Clemmons, NC 27012 | 2008-03-14 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1700970878 | Thomas M Anderson Dds Pa | Clinic/Center | 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 | 2006-10-03 |
| 1902998941 | Steven A Cuccia Dds Pa | Dentist | 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 | 2006-09-28 |
| Find all providers in zip 27012 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438292 | Letizia B Migliaccio | Physical Therapist | 3726 Battleground Ave # B, Greensboro, NC 27410-2344 | 2020-05-11 |
| 1396371787 | Teresa Blake Robertson Elder | Physical Therapist | 120 Grandview Ave, Brevard, NC 28712-4727 | 2020-03-17 |
| 1821650367 | Peak Pelvic Health Physical Therapy, LLC | Physical Therapist | 160 Macgregor Pines Dr Ste 101, Cary, NC 27511-6037 | 2019-07-05 |
| 1679132690 | Demario Sharrod Lewis | Physical Therapist | 200 W Woodcroft Pkwy Apt 62b, Durham, NC 27713-8086 | 2019-06-12 |
| 1679032866 | David James Lawton | Physical Therapist | 101 E W T Harris Blvd Ste 5001, Charlotte, NC 28262-3574 | 2019-03-18 |
| 1497211643 | Mackenzie Gilliss | Physical Therapist | 703 N Us 29 Hwy, China Grove, NC 28023-2617 | 2019-02-13 |
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1730658253 | Smart Athlete Physiotherapy, LLC | Physical Therapist | 1017 E Whitaker Mill Rd, Raleigh, NC 27608-2757 | 2018-11-14 |
| 1366927659 | Judy Larose Foxworth | Physical Therapist | 601 S Mlk Jr Drive F L Atkins Bldg Rm 333, Winston Salem, NC 27110-0001 | 2018-10-02 |
| 1063905065 | Gabriela Perez | Physical Therapist | 5920 Sandy Forks Rd, Raleigh, NC 27609-3814 | 2018-06-13 |
| 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.