MR. PHILLIP W JOHNSON (NPI# 1710185376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710185376 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP W JOHNSON |
| Credential | CPO |
| Practice Address |
3635 S Main St Suite A Blacksburg VA 24060-7019 |
| Practice Telephone | 5409512566 |
| Practice Fax Number | 5409517818 |
| Mailing Telephone | 5409512566 |
| Mailing Fax Number | 5409517818 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | CPO 02395 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224P00000X | Prosthetist | CPO 02395 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DMERC MEDICARE | 5401900001 | 01 |
| VA | ANTHEM BCBS | 175522 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487035457 | Phillip Isaac Johnson | Dentist | 914 Pheasant Dr, Midlothian, TX 76065-6790 | 2015-06-15 |
| 1740624436 | Phillip D Johnson | Counselor | 821 W South St Ste F, Kalamazoo, MI 49007-4684 | 2013-04-24 |
| 1164540142 | Phillip H Johnson | Dentist | 8000 Coit Rd Ste 200, Plano, TX 75025-6820 | 2007-03-27 |
| 1659356921 | Phillip M Johnson | Family Medicine | 800 Highlander Pt Dr, Ste 300, Floyds Knobs, IN 47119 | 2005-12-09 |
| 1134742109 | Phillip M. Johnson | Behavioral Analyst | 4746 11th Ave Ne Ste 102, Seattle, WA 98105-4660 | 2020-05-25 |
| 1760024111 | Phillip Gregory Johnson | Case Manager/Care Coordinator | 1308 N Leona St, Appleton, WI 54911-4232 | 2019-10-16 |
| 1457824849 | Phillip Johnson | Student in an Organized Health Care Education/Training Program | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2019-01-08 |
| 1083964761 | Phillip Ryan Johnson | Pharmacist | 1415 N Arizona Ave, Gilbert, AZ 85233-1616 | 2012-09-11 |
| 1346566932 | Phillip Johnson II | Counselor | 4522 Fredericksburg Rd, Suite A-45, San Antonio, TX 78201-6521 | 2010-04-08 |
| 1184703464 | Phillip E Johnson | Optometrist | 3455 Peachtree Industrial Blvd, Suite 845, Duluth, GA 30096-6501 | 2006-11-06 |
| Street Address |
3635 S MAIN ST SUITE A |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-7019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265616528 | Phillip Johnson | Prosthetic/Orthotic Supplier | 3635 S Main St, Ste A, Blacksburg, VA 24060-7021 | 2007-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639647993 | Madison Vansavage Maben | Orthotist | 433 Network Sta, Chesapeake, VA 23320 | 2018-11-05 |
| 1851883318 | Specialized Orthopaedic Services,inc. | Orthotist | 1951 Evelyn Byrd Ave Ste E, Harrisonburg, VA 22801-3483 | 2018-05-31 |
| 1366988578 | Emily Kane | Orthotist | 6320 N Center Dr Ste 201, Norfolk, VA 23502-4009 | 2017-01-11 |
| 1164887931 | Beth Martin | Orthotist | 2034 Dabney Rd Ste C, Richmond, VA 23230-3361 | 2015-12-22 |
| 1487089124 | Bryan Carroll Fuller | Orthotist | 612 Rio Rd W Ste 5, Charlottesville, VA 22901-1412 | 2013-09-12 |
| 1215361886 | Michael L. Butts | Orthotist | Dept of Veterans Affairs Hunter Holmes Ctr, 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2013-08-30 |
| 1447592936 | Joseph L. Lawson | Orthotist | 1135 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2013-03-22 |
| 1851631105 | Booden Orthopedic & Prosthetic Center Inc | Orthotist | 5511 Princess Anne Rd, Suite 101, Virginia Beach, VA 23462-3321 | 2013-02-25 |
| 1487905378 | Ksenia Noelle Major | Orthotist | 2139 Staples Mill Rd, Richmond, VA 23230-2905 | 2012-10-02 |
| 1780982660 | Carter P Williams | Orthotist | 1500 Huguenot Rd, Suite 106, Midlothian, VA 23113-2478 | 2011-03-02 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
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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.