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NPI Code Detail

MEDICARE: ADAM MICHAEL JOHNSON PTA

MEDICARE:   ADAM MICHAEL JOHNSON  PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12081P0010XPediatric Rehabilitation Medicine Physician1355292PA

General Provider Information

NPI Number : 1023904513
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM MICHAEL JOHNSON PTA
Provider Business Mailing Address
First Line : 5701 KIAM ST UNIT B
Second Line :
City : HOUSTON
State : TX
Zip : 77007-1141
Country : US
Telephone Number : 225-218-3421
Fax Number :
Provider Business Practice Location Address
First Line : 5701 KIAM ST UNIT B
Second Line :
City : HOUSTON
State : TX
Zip : 77007-1141
Country : US
Telephone Number : 225-218-3421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2025
Last Update Date : 02/24/2026

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Directions to “ ADAM MICHAEL JOHNSON PTA” Practice Location

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