Dr. Michael Johnson
Physical Therapist - Sports
1138 Farmington Ave
Berlin
, Connecticut 06037
Dr. Michael Johnson
Physical Therapist - Sports
1138 Farmington Ave
Berlin
, Connecticut 06037
(860) 829-5511
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Dr. Michael Johnson
- Po Box 452
- Berlin, CT
- Zip : 06037-0452
- Phone : (860) 829-5511
Second Address
- Dr. Michael Johnson
- 1138 Farmington Ave
- Berlin, CT
- Zip : 06037
- Phone : (860) 829-5511
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 9603 | CT |
National Provider Identifier
| NPI | 1255685723 |
|---|---|
| Provider Name | Dr. Michael Johnson |
| First Address | Berlin, CT 06037-0452 |
| Second Address | Berlin, CT 06037 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/11/2012 |
| Last Update Date | 23/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.