KEVIN NEIL JOHNSON (NPI# 1770806374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770806374 |
| Entity Type | Individual |
| Full Name | KEVIN NEIL JOHNSON |
| Credential | PT,ATC |
| Practice Address |
9913 214th St W Ste B Lakeville MN 55044-1914 |
| Practice Telephone | 9529852020 |
| Mailing Telephone | 9529852020 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
4901 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912463704 | Kevin Johnson | Chiropractor | 2601 E Chapman Ave Ste 214, Fullerton, CA 92831-3737 | 2019-02-16 |
| 1558834234 | Kevin Timothy Johnson | Physician Assistant | 411 Naylor Mill Rd, Salisbury, MD 21801-1191 | 2019-01-06 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1205384955 | Kevin Johnson Jr. | Community Health Worker | 1261 Roslyn Ave, Akron, OH 44320-3424 | 2016-09-12 |
| 1073949400 | Kevin William Johnson | Counselor | 1147 16th St N, St Petersburg, FL 33705-1104 | 2013-09-17 |
| 1669752200 | Kevin L Johnson | Pharmacist | 2600 S 48th St, Lincoln, NE 68506-2502 | 2011-08-26 |
| 1346536463 | Kevin Charles Johnson | Pharmacist | 747 Highway 259 North, Kilgore, TX 75662-5175 | 2011-06-27 |
| 1326280991 | Kevin Anthony Johnson | Family Medicine | 1400 Hancock Blvd, #1208, Daytona Beach, FL 32114 | 2009-03-29 |
| 1558566588 | Kevin Charles Johnson | Speech-Language Pathologist | 8620 Holly Dr, Suite 230, Everett, WA 98208-1825 | 2007-06-19 |
| 1366583841 | Kevin Darnell Johnson | Dentist | 71 Valley St, Suite103, South Orange, NJ 07079-2835 | 2007-02-09 |
| Street Address |
9913 214TH ST W STE B |
| City | LAKEVILLE |
| State | MN |
| Zip Code | 55044-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326529256 | Susan Hayes | Physical Therapy Assistant | 9913 214th St W Ste B, Lakeville, MN 55044-1914 | 2018-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1164922373 | Invigorate Chiropractic, Pa | Chiropractor | 18449 Orchard Trail, Lakeville, MN 55044 | 2018-02-14 |
| 1275046344 | Kevin Schultz | Chiropractor | 18449 Orchard Tr, Lakeville, MN 55044 | 2017-11-13 |
| 1518487263 | Katarina Klementina Foster | Dentist | 16138 Pilot Knob Rd, Lakeville, MN 55044 | 2017-06-23 |
| 1275069676 | Alison Marie Weaver | Physical Therapist | 17599 Kenwood Trl Ste 200, Lakeville, MN 55044 | 2017-05-04 |
| 1184177479 | Megan Erickson | Physical Therapist | 21034 Heron Way Ste 102, Lakeville, MN 55044 | 2016-08-03 |
| 1669827523 | Kristine Louise Duhamel | Nurse Practitioner | 18275 Kenrick Avenue, Lakeville, MN 55044 | 2016-04-28 |
| 1003281536 | Heather Leann Wegner | Counselor | 16233 Kenyon Ave, Lakeville, MN 55044 | 2015-12-09 |
| 1982081295 | Dana Bungert | Specialist/Technologist | 11060 Upper 167th St W, Lakeville, MN 55044 | 2015-05-06 |
| 1265834931 | Kayla Schulz | Counselor | 7535 165th St West, Lakeville, MN 55044 | 2014-09-24 |
| Find all providers in zip 55044 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935435 | Kelly Nicole Ricke | Physical Medicine & Rehabilitation | 1 Civic Center Plaza, Hockey Office Complex, Mankato, MN 56001 | 2020-09-03 |
| 1902310154 | Dorothy Jane Hanna | Physical Medicine & Rehabilitation | 10939 Quebec Ave N, Champlin, MN 55316-3261 | 2017-11-27 |
| 1932502267 | Kyle Braulick | Physical Medicine & Rehabilitation | 5025 Edinburgh Way, Big Lake, MN 55309-8271 | 2014-10-01 |
| 1790020949 | Shelby N Kenison | Physical Medicine & Rehabilitation | 28675 740th Ave, Clarks Grove, MN 56016-4041 | 2012-11-29 |
| 1962069864 | Allyson Carol Maynard | Physical Medicine & Rehabilitation | 800 Prairie Center Dr Ste 230, Eden Prairie, MN 55344-7308 | 2019-05-26 |
| 1831672492 | Nathaniel Erik Thomsen | Physical Medicine & Rehabilitation | 300 S Bruce St, Marshall, MN 56258-1934 | 2018-09-10 |
| 1023517364 | Hannah Rhiannon Salisbury | Physical Medicine & Rehabilitation | 3900 Bethel Dr, Arden Hills, MN 55112-6902 | 2018-02-01 |
| 1386006682 | Allison Nicole Schroeder | Physical Medicine & Rehabilitation | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-03-25 |
| 1235530890 | Wade Johnson | Physical Medicine & Rehabilitation | 1025 Marsh St, Mankato, MN 56001-4752 | 2014-09-14 |
| 1063758290 | Katherine N Nanos | Physical Medicine & Rehabilitation | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-12-16 |
| 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.