ANTHONY JOHNSON (NPI# 1396391181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396391181 |
| Entity Type | Individual |
| Full Name | ANTHONY JOHNSON |
| Practice Address |
57 King St Apt 3 Worcester MA 01610-2491 |
| Mailing Address |
345a Greenwood St Worcester MA 01607-1753 |
| Practice Telephone | 7749469992 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893676 | Anthony Johnson | Massage Therapist | 25350 Us Highway 19 N Apt 212, Clearwater, FL 33763-2125 | 2020-08-29 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1174034565 | Anthony Eugene Johnson | Nurse Practitioner | 905 Sw 38th St, Moore, OK 73160-9409 | 2017-10-12 |
| 1992101893 | Anthony Earl Johnson | Registered Nurse | 121 N Greenwood Ave, Suite B, Tulsa, OK 74120-1444 | 2014-11-05 |
| 1992054886 | Anthony Lorne Johnson | Massage Therapist | 1330 Nw 6th St Suite A, Gainesville, FL 32601 | 2012-09-06 |
| 1407105547 | Anthony William Johnson | Physician Assistant | 1094 S Blair St, Salt Lake City, UT 84111-4703 | 2012-09-05 |
| 1942569272 | Anthony Johnson | Rehabilitation Practitioner | 5904 Montecito Way, Las Vegas, NV 89108-4851 | 2012-05-07 |
| 1760632160 | Anthony Gerard Johnson | Clinical Pharmacology | 116 Grays Ln, Haverford, PA 19041-1747 | 2008-09-23 |
| 1063522811 | Anthony Gerard Johnson | Psychiatry & Neurology | 22 Charlotte Dr, New Orleans, LA 70122-2532 | 2006-08-30 |
| 1922014026 | Anthony Dean Johnson | Nurse Anesthetist, Certified Registered | 616 N 8th St, Osage, IA 50461-1456 | 2006-07-31 |
| Street Address |
57 KING ST APT 3 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610-2491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773599 | Marylu Bermudez | Developmental Therapist | 47 Solferino St, Worcester, MA 01604-1721 | 2019-10-30 |
| 1083261440 | Sara Konda | Developmental Therapist | 388 Plantation St, Worcester, MA 01605-2325 | 2019-08-21 |
| 1245890664 | Hajarah Shakir | Developmental Therapist | 35a Greenwood St, Worcester, MA 01607 | 2019-06-18 |
| 1275197824 | Alexander Scott Beebe | Developmental Therapist | 345a Greenwood St Ste A, Worcester, MA 01607-1753 | 2019-04-30 |
| 1669934097 | Alicia Beshaw | Developmental Therapist | 18 Upland Gardens Dr Apt 7, Worcester, MA 01607-1679 | 2019-04-04 |
| 1083172126 | Magdaline Gonzalez | Developmental Therapist | 147 Providence St, Worcester, MA 01604-5414 | 2019-03-07 |
| 1508323205 | Aerielle Bisono | Developmental Therapist | 21 Marble St Apt D, Worcester, MA 01603-2476 | 2019-02-28 |
| 1265998363 | Marisol Leon | Developmental Therapist | 2 Eustis St, Worcester, MA 01606-1120 | 2019-02-13 |
| 1174097711 | Yerkely Gomez | Developmental Therapist | 345a Greenwood St # At, Worcester, MA 01607-1753 | 2019-01-16 |
| 1881199289 | Erin Valcourt | Developmental Therapist | 345 A Greenwood St., Suite B, Worcester, MA 01607 | 2018-03-27 |
| Find all providers in WORCESTER | ||||
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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.