MR. KEITH VINCENT JOHNSON (NPI# 1700929031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700929031 |
| Entity Type | Individual |
| Full Name | MR. KEITH VINCENT JOHNSON |
| Credential | ATC, NRAEMT |
| Practice Address |
13 Fahnestock Rd Malvern PA 19355-2104 |
| Practice Telephone | 6106331478 |
| Mailing Telephone | 6106331478 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2015-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT001618A | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
| 1780937821 | Keith Michael Johnson | Counselor | 16812 127th Ave, Apt # 7e, Jamaica, NY 11434-3152 | 2012-10-25 |
| 1467628792 | Keith Emery Johnson | General Practice | 1111 Quewhiffle Rd, Aberdeen, NC 28315-5377 | 2008-05-06 |
| 1336330810 | Keith David Johnson | Dentist | 26 S Village Dr, Liberty, MO 64068 | 2007-08-08 |
| 1952529133 | Keith E Johnson | Dentist | 13270 Big Basin Way, Boulder Creek, CA 95006 | 2007-04-23 |
| 1972669646 | Keith Johnson | Physical Therapist | 2301 Morningside Dr, Jonesboro, AR 72404-8050 | 2006-12-28 |
| 1467514588 | Keith W.v. Johnson | Orthopaedic Surgery | 6701 Lake Woodlands Dr, 101, The Woodlands, TX 77382-2566 | 2006-12-14 |
| 1568553147 | Keith Michael Johnson | Chiropractor | 13700 83rd Way N, #200, Maple Grove, MN 55369-7015 | 2006-09-27 |
| 1487616967 | Keith Patrick Johnson | Specialist | 85 Harristown Road, Suite 103, Glen Rock, NJ 07452 | 2006-04-03 |
| 1841263159 | Keith A Johnson | Psychiatry & Neurology | 33 Fruit St, Mass General Physican Organization, Boston, MA 02114-2621 | 2006-02-08 |
| Street Address |
13 FAHNESTOCK RD |
| City | MALVERN |
| State | PA |
| Zip Code | 19355-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218044 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 30 Liberty Boulevard, Suite 140, Malvern, PA 19355 | 2019-08-01 |
| 1871011122 | Mary Margaret Bischoff | Psychologist | 922 St. Andrews Dr., Malvern, PA 19355 | 2017-09-07 |
| 1114449527 | Reconstructive Orthopaedic Associates II, P.C. | Prosthetic/Orthotic Supplier | 650 Carnegie Boulevard, 2nd Floor, Malvern, PA 19355 | 2017-07-07 |
| 1285169243 | Smile Exchange of Malvern, LLC | Clinic/Center | 5 S. Morehall Rd, Suite 700b, Malvern, PA 19355 | 2017-04-27 |
| 1669849162 | Sahar Akhtar | Counselor | 288 Lancaster Ave Ste 1, Frazer, PA 19355 | 2015-08-31 |
| 1386020030 | Laura Ann Treston | Physical Therapy Assistant | 60 Malvern Ave., Malvern, PA 19355 | 2015-08-05 |
| 1003217191 | Hillary Schmid | Behavioral Analyst | 28 Clover Lane, Malvern, PA 19355 | 2014-09-09 |
| 1033528799 | James Greco | Pharmacist | 50 Three Tun Rd Ste 2, Malvern, PA 19355 | 2014-08-07 |
| 1952712085 | Rachael Joseph | Community/Behavioral Health | 45 Kelmar Avenue, Malvern, PA 19355 | 2014-05-12 |
| 1487081808 | Ronia Arabatlian | Social Worker | 1 North Bacton Rd, 107, Malvern, PA 19355 | 2013-09-30 |
| Find all providers in zip 19355 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619326006 | A Chapman | Specialist/Technologist | 640 Mlk Blvd, Malvern, AR 72104-2632 | 2016-06-07 |
| 1093745689 | Donnie Britten Davis Jr. | Specialist/Technologist | 52 Gloster Ct, Malvern, AR 72104-3900 | 2006-07-03 |
| 1619961513 | Edward B Stier | Specialist/Technologist | 11 Skyline Dr, Malvern, PA 19355-2817 | 2005-09-07 |
| 1801459169 | Ryan O'kane | Specialist/Technologist | 418 S Warren Ave, Malvern, PA 19355-2707 | 2019-04-22 |
| 1952702581 | Amy Harr | Specialist/Technologist | 266 Lancaster Ave, Suite 200, Malvern, PA 19355-3256 | 2014-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
| 1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
| 1114528684 | Kelsey E Craig | Specialist/Technologist | 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 | 2020-11-02 |
| 1740881333 | David Williams | Specialist/Technologist | 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 | 2020-11-02 |
| 1992305940 | Alexandra Bossi | Specialist/Technologist | 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 | 2020-10-29 |
| 1043810021 | Randy W Dillon | Specialist/Technologist | 617c Chester Pike, Prospect Park, PA 19076-1506 | 2020-10-28 |
| 1871193086 | Troy Olsheski | Specialist/Technologist | 1970 Easton Tpke, Lake Ariel, PA 18436-4661 | 2020-10-27 |
| 1982203055 | Josiah Thompson | Specialist/Technologist | 20 Heather Rd, Feasterville Trevose, PA 19053-6320 | 2020-10-20 |
| 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.