MR. JESSE PAUL JOHNSON (NPI# 1811042930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811042930 |
Entity Type | Individual |
Full Name | MR. JESSE PAUL JOHNSON |
Credential | ATC |
Practice Address |
24 Frank Lloyd Wright Dr Medsport Ann Arbor MI 48105-9755 |
Mailing Address |
6513 Meadowlark Ln Ypsilanti MI 48197-6171 |
Practice Telephone | 7349307400 |
Mailing Telephone | 7349307400 |
Enumeration Date | 2007-01-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528549284 | Jesse Taylor Johnson | Counselor | 1900 Silver Lake Rd, New Brighton, MN 55112-1786 | 2018-08-22 |
1851618433 | Jesse Johnson | Counselor | 700 Pinhook Dr, Savannah, TN 38372-2783 | 2010-04-22 |
1942830492 | Jesse Howard Johnson IIi | Case Manager/Care Coordinator | 9343 Tech Center Dr, Sacramento, CA 95826-2563 | 2020-01-23 |
1235794322 | Jesse Alexander Johnson Jr. | Internal Medicine | 833 Chestnut St Ste 220, Philadelphia, PA 19107-4405 | 2019-05-05 |
1538623087 | Jesse Johnson | Counselor | 301 Nw F St, Grants Pass, OR 97526-2051 | 2019-01-29 |
1932624178 | Jesse Johnson | Dentist | 9201 Eagle Ranch Rd Nw, Albuquerque, NM 87114-6032 | 2017-08-09 |
1043657687 | Jesse Johnson | Counselor | 443 Ne Knott St, Portland, OR 97212-3108 | 2013-05-22 |
1528360252 | Jesse J Johnson | Counselor | 130 N 2nd St, Raton, NM 87740-3804 | 2010-12-01 |
1003042664 | Jesse Thomas Johnson II | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2009-06-09 |
1306003355 | Jesse Kendall Johnson | Dentist | 24502 Pacific Park Dr, 106, Aliso Viejo, CA 92656-3033 | 2008-05-19 |
Street Address |
24 FRANK LLOYD WRIGHT DR MEDSPORT |
City | ANN ARBOR |
State | MI |
Zip Code | 48105-9755 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174529127 | Paula Tuohy Miska | Nurse Practitioner | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48109 | 2005-06-23 |
1629540992 | Regents of The University of Michigan | Durable Medical Equipment & Medical Supplies | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-12-26 |
1477021160 | Lisa Jane Bosio | Registered Nurse | 24 Frank Lloyd Wright Dr, Lobby C Suite 1300, Ann Arbor, MI 48105-9484 | 2018-11-12 |
1770073199 | Regents of The University of Michigan | Dietitian, Registered | 24 Frank Lloyd Wright Dr, Dominos Farms Lobby C Suite 1300, Ann Arbor, MI 48106 | 2018-05-10 |
1861998411 | Dale Douglas Hazard | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-04-03 |
1144724303 | Kanisha Ward | Specialist/Technologist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-22 |
1851894109 | Kristy Jo Bonasso | Occupational Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-13 |
1932602612 | Eric Kilpatrick | Specialist/Technologist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-09 |
1679075659 | Kristen Hope Schuyten | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
1912409897 | Gary Kufel | Physical Medicine & Rehabilitation | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
Find all providers in zip 48105 |
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 |
---|---|---|---|---|
1417571589 | Emily Ann Appold | Specialist/Technologist | 2350 S State St, Ann Arbor, MI 48104-6110 | 2020-06-03 |
1023649035 | Logan D Battreall | Specialist/Technologist | 3129 Woodland Hills Dr Apt 36, Ann Arbor, MI 48108-2180 | 2020-01-29 |
1841839347 | Mary Marlene Gocha | Specialist/Technologist | 1665 Plymouth Rd, Ann Arbor, MI 48105-1825 | 2019-12-31 |
1588203293 | Earl Wenk | Specialist/Technologist | 1958 S Industrial Hwy Ste C, Ann Arbor, MI 48104-4625 | 2019-12-27 |
1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
1881254662 | Amy Metiva | Specialist/Technologist | 4854 Washtenaw Ave, Ann Arbor, MI 48108-3441 | 2019-06-14 |
1972005601 | Andie Michelle Stark | Specialist/Technologist | 4008 Ave Maria Drive Lobby A, Suite 100, Ann Arbor, MI 48106 | 2018-03-08 |
1376055350 | Sarah Anne Floyd | Specialist/Technologist | 4008 Ave Maria Drive Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-10-30 |
1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
1932639788 | Jasmine Dominique Harris | Specialist/Technologist | 4008 Ave Maria Drive, Lobby A, Suite 1000, Ann Arbor, MI 48106 | 2017-06-14 |
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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.