CLARK JOHNSON (NPI# 1407124910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407124910 |
| Entity Type | Individual |
| Full Name | CLARK JOHNSON |
| Practice Address |
2789 Brooks Range Prescott AZ 86301-7636 |
| Mailing Address |
2560 N 3000 W Delta UT 84624-7246 |
| Practice Telephone | 4357609300 |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 19237 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 06226 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 8030412-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 38312 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 9307 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518225929 | Clark A Johnson | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2012-04-24 |
| 1497989305 | Clark Timothy Johnson | Obstetrics & Gynecology | 600 N Wolfe Street Phipps 279, Baltimore, MD 21287-0001 | 2009-05-06 |
| 1801185764 | Clark Johnson | Rehabilitation Practitioner | 6055 E Washington Blvd, Suite 900, Commerce, CA 90040-2449 | 2011-03-31 |
| 1841527033 | Clark Michael Johnson | Chiropractor | 1221 Alhambra Blvd, Suite 105, Sacramento, CA 95816-5237 | 2009-11-09 |
| 1528239399 | Clark Lewis Johnson | Marriage & Family Therapist | 222 West St, Suite 29f, Keene, NH 03431-2455 | 2008-03-19 |
| 1720278310 | Clark Mitchell Johnson | Counselor | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2007-07-30 |
| 1487706099 | Clark Woodrow Johnson | Psychiatry & Neurology | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2007-01-17 |
| 1548220700 | Clark Peter Johnson | Podiatrist | 213 North Ave, Battle Creek, MI 49017-3430 | 2006-03-23 |
| Street Address |
2789 BROOKS RANGE |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-7636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245636216 | Julie Ann Darr | Physical Therapist | 1980 Idylwild Rd, Prescott, AZ 86305-7528 | 2014-11-18 |
| 1760761696 | Hope Pelvic Rehabilitation & Physical Therapy, LLC | Physical Therapist | 1526 Idylwild Rd Ste D, Prescott, AZ 86305-2237 | 2011-08-09 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| 1346489390 | Angela Maria Ciminiello | Physical Therapist | 278 Jacob Ln, Prescott, AZ 86303-5806 | 2009-02-16 |
| 1538317342 | Gage Permar | Physical Therapist | 450 W Goodwin St, 102a, Prescott, AZ 86303-3782 | 2008-09-04 |
| 1568636546 | Jared T Rummage | Physical Therapist | 1983 Commerce Center Circle, Prescott, AZ 86301 | 2008-04-21 |
| 1811102619 | Sharon Kay Pullins | Physical Therapist | 111 S Cortez St, Prescott, AZ 86303-4703 | 2007-05-14 |
| 1295855773 | Meghan Rohde | Physical Therapist | 330 N Washington Ave Ste B, Prescott, AZ 86301 | 2007-03-30 |
| 1245396522 | Sarah Michelle Harvieux | Physical Therapist | 1400 N Acres Rd Ste 60, Prescott, WI 54021-7039 | 2006-12-29 |
| 1669540571 | Richard Dean Cimaglia | Physical Therapist | Center for Physical Excellence, 3117 Stillwater Drive, Prescott, AZ 86305 | 2006-11-30 |
| Find all providers in PRESCOTT | ||||
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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.