BLAKE JOHNSON


Address: 590 S Wakara Way, Salt Lake City, UT 84108-1200
Phone: 8015870757

BLAKE JOHNSON (NPI# 1265824254) 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) 1265824254
Entity Type Individual
Full Name BLAKE JOHNSON
Credential ATC
Practice Address 590 S Wakara Way
Salt Lake City
UT 84108-1200
Mailing Address 1629 W Black Gold Dr
Bluffdale
UT 84065-2386
Practice Telephone 8015870757
Enumeration Date 2015-02-27
Last Update Date 2015-02-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
6976729-4810 UT Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers BLAKE JOHNSON

NPI Name Taxonomy Address Enumeration
1154733004 Blake Ashton Johnson Emergency Medicine 13737 Noel Rd Ste 1200, Dallas, TX 75240-1335 2014-05-27
1497389142 Blake Elliot Johnson Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 2020-03-02
1396393021 Blake Jeffrey Johnson Social Worker 5400 Kirkwood Blvd Sw, Cedar Rapids, IA 52404-5216 2019-08-27
1174086847 Blake Ryan Johnson Pharmacist 1924 Alcoa Hwy, Knoxville, TN 37920-1511 2019-04-10
1326526906 Blake Johnson Occupational Therapist 2012 S Jones Blvd, Las Vegas, NV 89146-3151 2018-08-05
1659889368 Blake Johnson Physician Assistant 804 22nd Ave, Kearney, NE 68845-2206 2018-01-16
1164938288 Blake Allan Johnson Student in an Organized Health Care Education/Training Program 600 N Wolfe St, Baltimore, MD 21287-0005 2017-12-27
1275075269 Blake Quinton Johnson Social Worker 506 W Jackman St, Lancaster, CA 93534-2531 2016-11-08
1881147809 Blake Emil Johnson Pharmacist 1501 San Pedro Dr Se, Pharmacy Service 119, Albuquerque, NM 87108-5153 2016-07-26
1881077980 Blake Alan Johnson Dentist 124 3rd St, Marietta, OH 45750-3108 2015-07-07

Office Location

Street Address 590 S WAKARA WAY
City SALT LAKE CITY
State UT
Zip Code 84108-1200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174524862 Kimberly M Ross Occupational Therapist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2005-08-03
1558988717 Logan James Couce Physical Therapist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-07-02
1457976581 Abigail Bigham Physical Therapist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-06-15
1073141768 Matthew Jiajing Siebert Student in an Organized Health Care Education/Training Program 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-03-30
1326676370 Joshua Paul Rainey Student in an Organized Health Care Education/Training Program 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-03-27
1407483886 Olivia Grothaus Student in an Organized Health Care Education/Training Program 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-03-25
1316574775 Eleanor Hope Sato Student in an Organized Health Care Education/Training Program 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-03-25
1922632959 Alexander John Reese Pharmacist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-02-28
1679110548 Byron C Miller Physical Therapist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2019-12-10
1851933501 Gabrielle Lecheminant Grimmer Physician Assistant 590 S Wakara Way, Salt Lake City, UT 84108-1200 2019-10-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548753056 Maxine Ht Erickson Assistant Behavior Analyst 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 2018-06-08
1841704061 Robyn Carver Occupational Therapist 421 Wakara Wat, Salt Lake City, UT 84108 2017-11-27
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
1447708912 Aubrianne Squire Evans Occupational Therapist 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 2016-09-14
1629524426 Ryan Weisenbeck Specialist/Technologist 580 S Guardsman Way, Salt Lake City, UT 84108 2016-08-31
1164885547 Michael Fazzone Student in an Organized Health Care Education/Training Program 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 2016-04-01
1669833489 Bryon Claflin Registered Nurse 650 S Komas Ste 200, Salt Lake City, UT 84108 2016-03-08
1801283833 Autism Assement Treatment Program Adult Psychologist 650 S Komas, Suite 200, Salt Lake City, UT 84108 2015-04-16
1578993275 Matthew and David Dental Pllc Dentist 1355 Foothill Drive, Salt Lake City, UT 84108 2013-11-15
1841631520 Deepika Garg Internal Medicine 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 2013-07-10
Find all providers in zip 84108

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
1780202978 Katie Marie Plyer Specialist/Technologist 1860 E 250 S, Salt Lake City, UT 84112-4531 2020-07-14
1932727724 Jose Luis Sandoval De Leon Specialist/Technologist 260 S 1850 E Rm 208, Salt Lake City, UT 84112-0910 2020-07-08
1629695929 John Randall Woodworth Specialist/Technologist 383 S Colorow Dr Rm 392, Salt Lake City, UT 84108-1245 2020-07-02
1114548310 Sarah Elizabeth Christensen Specialist/Technologist 1215 N 2200 W, Salt Lake City, UT 84116-4128 2020-04-29
1174167035 Nicole Schonrock Specialist/Technologist 3584 E Kings Hill Cir, Salt Lake City, UT 84121-6009 2019-11-04
1174186977 Carly Reilly Specialist/Technologist 843 S Lincoln St, Salt Lake City, UT 84102-3612 2019-04-17
1083177505 Vitor Gabriel Giuliani Alcantara Carioca Specialist/Technologist 1850 South Campus Drive, Salt Lake City, UT 84115 2019-04-11
1407313224 Elenore Reid Specialist/Technologist 48 S 1300 E, Salt Lake City, UT 84102-1730 2019-02-28
1205306248 Eric Raustein Specialist/Technologist 650 S 1100 E, Salt Lake City, UT 84102-3902 2018-12-03
1245723931 Clinton James Bowser Specialist/Technologist 255 N 400 W Apt 5, Salt Lake City, UT 84103-1233 2018-06-07
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84108

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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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