RYAN JOHNSON (NPI# 1790181212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790181212 |
| Entity Type | Individual |
| Full Name | RYAN JOHNSON |
| Credential | ATC, LAT |
| Practice Address |
1162 Eden Terrace Dr Rock Hill SC 29733-3208 |
| Mailing Address |
850 Lucas St Apt D Rock Hill SC 29730-4180 |
| Practice Telephone | 6825520843 |
| Mailing Telephone | 6825520843 |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2015-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT5557 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1467 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1235693862 | Ryan Joseph Maurice Johnson | Behavior Technician | 5985 Devecchi Ave Apt 277, Citrus Heights, CA 95621-6091 | 2019-01-28 |
| 1285084459 | Ryan Johnson | Dentist | 1566 Dunn Ave, Jacksonville, FL 32218-4734 | 2016-06-17 |
| 1609265818 | Ryan Johnson | Specialist/Technologist | 4336 Dell Rd Apt K, Lansing, MI 48911-8136 | 2015-01-12 |
| 1588073431 | Ryan Scott Johnson | Massage Therapist | 10 North Virginia Street, Crystal Lake, IL 60014 | 2014-08-05 |
| 1235545161 | Ryan Johnson | Counselor | 207 W Branch Ave, Pine Hill, NJ 08021-7084 | 2014-07-11 |
| 1417369042 | Ryan Alan Johnson | Dentist | 400 Fairview Ave Ste 6, Ponca City, OK 74601-1910 | 2014-06-02 |
| 1861815482 | Ryan James Johnson | Registered Nurse | 140 Tamarack Ave, Apt 1, Carlsbad, CA 92008-4099 | 2014-02-03 |
| 1306281027 | Ryan Aaron Johnson | Audiologist | 4190 Bonita Rd Ste 104, Bonita, CA 91902-1330 | 2013-05-08 |
| 1699091066 | Ryan Wesley Johnson | Emergency Medicine | 2995 Crystal Beach Rd, Winter Haven, FL 33880-4914 | 2010-04-10 |
| Street Address |
1162 EDEN TERRACE DR |
| City | ROCK HILL |
| State | SC |
| Zip Code | 29733-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467981738 | Whitney Hughes | Case Manager/Care Coordinator | 105 Piedmont Blvd Suite 100, Rock Hill, SC 29733 | 2017-06-08 |
| 1912314980 | Amber Radtke | Specialist/Technologist | 1162 Eden Terrace, Winthrop Coliseum, Rock Hill, SC 29733 | 2014-07-22 |
| 1457816902 | Travantae Khedeem Cuffie | Specialist/Technologist | 4428 Dorsey Dr #58 2020 Alumni Dr #4625, Rock Hill, SC 29733-0001 | 2019-02-08 |
| 1295806701 | Jill Eileen Simpson | Nurse Practitioner | Winthrop University Health, 708 Oakland Ave. Crawford Bldg., Rock Hill, SC 29733-0001 | 2006-11-13 |
| 1033103395 | Mary Jo Barreto | Nurse Practitioner | Winthrop University Health Services, Rock Hill, SC 29733-0001 | 2005-09-01 |
| 1649262387 | Roberta Jean Polizzotto | Specialist/Technologist | Winthrop University, 31 Winthrop University Coliseum, Rock Hill, SC 29733-0001 | 2005-08-18 |
| 1720256316 | Winthrop University | Clinic/Center | 217 Crawford Building, Crawford Building, Rock Hill, SC 29733-7001 | 2008-02-15 |
| 1699816199 | Winthrop University Health Services Pharmacy | Clinic/Center | 701 Oakland Ave, Crawford Bldg, Rock Hill, SC 29733-7001 | 2007-02-09 |
| 1366906281 | Olivia Forrest | Physical Medicine & Rehabilitation | 701 Oakland Ave, Rock Hill, SC 29733-7001 | 2019-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083570 | Janelle Graham | Home Health Aide | 515 Cool Creek Dr, Rock Hill, SC 29732-7108 | 2020-11-06 |
| 1679174007 | Premier Transit Solutions, LLP | Durable Medical Equipment & Medical Supplies | 2025 Ebenezer Rd Ste J5, Rock Hill, SC 29732-1079 | 2020-11-03 |
| 1972101400 | Caroline Lee Parrish | Behavior Technician | 420 Herlong Ave S Ste 104, Rock Hill, SC 29732-1091 | 2020-10-16 |
| 1588262497 | Raising Hope Inc | Psychologist | 223 E Main St Ste 101, Rock Hill, SC 29730-4571 | 2020-10-13 |
| 1740888726 | Emily Negron | Occupational Therapist | 1612 Ebenezer Rd Ste 101, Rock Hill, SC 29732-3862 | 2020-10-13 |
| 1700484714 | Shira Simmons Culbreath | Counselor | 5124 Norway Ln, Rock Hill, SC 29732-8399 | 2020-10-12 |
| 1043827314 | Dental Professionals of South Carolina, P.C. | Dentist | 1767 Heckle Blvd Ste 102, Rock Hill, SC 29732-1878 | 2020-09-30 |
| 1457968497 | Denise B Reynolds | 1656 Riverchase Blvd Ste 1400, Rock Hill, SC 29732-0281 | 2020-09-24 | |
| 1487260501 | Kayla E Pengelski | Social Worker | 1030 Riverwalk Pkwy Ste 203, Rock Hill, SC 29730-4265 | 2020-09-23 |
| 1952917346 | Sarah Bishop Mixon | Dietitian, Registered | 755 Falls Rd, Rock Hill, SC 29730-7569 | 2020-09-21 |
| Find all providers in ROCK HILL | ||||
| 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 |
|---|---|---|---|---|
| 1376165282 | Alexandra Grainger | Specialist/Technologist | 2650 India Hook Rd, Rock Hill, SC 29732-9422 | 2020-05-13 |
| 1457816902 | Travantae Khedeem Cuffie | Specialist/Technologist | 4428 Dorsey Dr #58 2020 Alumni Dr #4625, Rock Hill, SC 29733-0001 | 2019-02-08 |
| 1821597089 | Alexia Abraham | Specialist/Technologist | 470 Alysia Ct Apt 302, Rock Hill, SC 29732-7534 | 2018-02-02 |
| 1871020107 | Daniel Xavier Jones Charles | Specialist/Technologist | 801 Neely Rd, Rock Hill, SC 29730-4675 | 2017-05-17 |
| 1538692629 | Jennifer Lynn Teachout | Specialist/Technologist | 217 Thornfield Ln, Rock Hill, SC 29730-6977 | 2017-04-06 |
| 1164889150 | Elizabeth Krebs | Specialist/Technologist | 531 Didsbury Dr, Apt 106, Rock Hill, SC 29730-7865 | 2016-01-21 |
| 1366824203 | Tanya Hurt | Specialist/Technologist | 1916 Paces Landing Ave Apt 1726, Rock Hill, SC 29732-1687 | 2015-06-27 |
| 1760872592 | Jamie Perry | Specialist/Technologist | 411 Burnage Way, Apt 304, Rock Hill, SC 29730-7847 | 2015-02-02 |
| 1619377629 | Natalie Samer | Specialist/Technologist | 253 Mallard Head Dr, Rock Hill, SC 29732-8364 | 2014-08-27 |
| 1528467784 | Phillip Leach | Specialist/Technologist | 490 Alysia Ct, Apt 207, Rock Hill, SC 29732-6537 | 2014-08-13 |
| Find all providers in ROCK HILL | ||||
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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.