JERRY ROY JOHNSTONE (NPI# 1194115030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194115030 |
Entity Type | Individual |
Full Name | JERRY ROY JOHNSTONE |
Credential | L.M.T. |
Practice Address |
1641 E Osborn Rd Suite 6 Phoenix AZ 85016-7146 |
Practice Telephone | 6022651774 |
Practice Fax Number | 6022651738 |
Mailing Telephone | 6022651774 |
Mailing Fax Number | 6022651738 |
Enumeration Date | 2015-01-30 |
Last Update Date | 2015-01-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT-14033 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326370420 | Jerry Albert Johnstone | Physician Assistant | 1201 Enterprise Ave, Apt 610, Lake City, TX 77573 | 2010-02-01 |
1497943153 | Jerry Stanley Johnstone II | Chiropractor | 515 Sr 9 Ne, Suite 105, Lake Stevens, WA 98258-8523 | 2007-10-09 |
Street Address |
1641 E OSBORN RD SUITE 6 |
City | PHOENIX |
State | AZ |
Zip Code | 85016-7146 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669464210 | Juan Llusco | Pediatrics | 1641 E Osborn Rd, Suite 3, Phoenix, AZ 85016-7146 | 2005-08-19 |
1992257802 | Carla Louise Briante | Naturopath | 1641 E Osborn Rd, Suite 6, Phoenix, AZ 85016-7146 | 2016-10-26 |
1134591159 | Elizabeth Livengood-anderson | Naturopath | 1641 E Osborn Rd, 6, Phoenix, AZ 85016-7146 | 2015-10-29 |
1942671060 | Revolution Health Medical Center | Clinic/Center | 1641 E Osborn Rd, Suite 6, Phoenix, AZ 85016-7146 | 2015-10-15 |
1043599459 | Dana Marie Wright | Speech-Language Pathologist | 1641 E Osborn Rd, Suite 1, Phoenix, AZ 85016-7146 | 2011-08-16 |
1851689962 | Elizabeth Eve Birch | Speech-Language Pathologist | 1641 E Osborn Rd, Phoenix, AZ 85016-7146 | 2011-07-11 |
1366761876 | Amy Evert | Occupational Therapist | 1641 E Osborn Rd, Suite 1, Phoenix, AZ 85016-7146 | 2010-05-24 |
1841429735 | Kathryn Carlson | Speech-Language Pathologist | 1641 E Osborn Rd, Suite 1, Phoenix, AZ 85016-7146 | 2009-07-13 |
1467695742 | Tracy Lee Magerus | Naturopath | 1641 E Osborn Rd, Suite 6, Phoenix, AZ 85016-7146 | 2009-04-15 |
1497996755 | Kristan Edwards | Occupational Therapist | 1641 E Osborn Rd, Suite 1, Phoenix, AZ 85016-7146 | 2009-03-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
Find all providers in zip 85016 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073113221 | Erin Clark | Massage Therapist | 9014 W Cambridge Ave, Phoenix, AZ 85037-3430 | 2020-10-27 |
1205435823 | Angelica Mitchum | Massage Therapist | 15815 S Lakewood Pkwy W, 2051, Phoenix, AZ 85048-5850 | 2020-10-23 |
1598362618 | Zeke Michael Mcnelly | Massage Therapist | 1417 E Colter St Apt 15, Phoenix, AZ 85014-3052 | 2020-10-01 |
1386250520 | Jeanne Thom | Massage Therapist | 21150 N Tatum Blvd Apt 1045, Phoenix, AZ 85050-4296 | 2020-09-22 |
1649880253 | Dwayne Pepper | Massage Therapist | 1337 E Goldenrod St, Phoenix, AZ 85048-6231 | 2020-08-07 |
1942818828 | Erika Mendoza | Massage Therapist | 7546 W Forest Grove Ave, Phoenix, AZ 85043-1656 | 2020-07-16 |
1164042602 | Rhonda L Evans | Massage Therapist | 3124 W Salter Dr, Phoenix, AZ 85027-2250 | 2020-04-24 |
1700416427 | David Solis | Massage Therapist | 1614 W Whispering Wind Dr Ste 5, Phoenix, AZ 85085-0809 | 2020-01-22 |
1700425949 | Charles George King Jr. | Massage Therapist | 6223 N 20th Dr, Phoenix, AZ 85015-1516 | 2020-01-06 |
1679119457 | Faith Vandyne | Massage Therapist | 722 E Sack Dr, Phoenix, AZ 85024-8232 | 2019-11-27 |
Find all providers in PHOENIX |
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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.