Healthcare Provider Details

I. General information

NPI: 1548660335
Provider Name (Legal Business Name): MARGARET JOHNSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2014
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 CARDINAL AT NORTH HILLS ST
RALEIGH NC
27609-2615
US

IV. Provider business mailing address

1005 PINE ACRES CT
KNIGHTDALE NC
27545-8768
US

V. Phone/Fax

Practice location:
  • Phone: 984-206-3830
  • Fax:
Mailing address:
  • Phone: 734-904-3118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number15142
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: