Healthcare Provider Details

I. General information

NPI: 1700718442
Provider Name (Legal Business Name): ADAM NATHANIEL JOHNSON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 PROSPECT ST
PAWTUCKET RI
02860-4476
US

IV. Provider business mailing address

126 PROSPECT ST
PAWTUCKET RI
02860-4476
US

V. Phone/Fax

Practice location:
  • Phone: 401-335-5286
  • Fax:
Mailing address:
  • Phone: 401-335-5286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: