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NPI Code Detail

MEDICARE: JOSHUA JOHNSON DPT

MEDICARE: JOSHUA JOHNSON DPT
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
1225100000XPhysical Therapist047536NY
2225100000XPhysical TherapistP20851NC

General Provider Information

NPI Number : 1912677527
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA JOHNSON DPT
Provider Business Mailing Address
First Line : 350 NEW FIDELITY CT
Second Line :
City : GARNER
State : NC
Zip : 27529-2665
Country : US
Telephone Number : 919-373-2919
Fax Number : 410-648-4878
Provider Business Practice Location Address
First Line : 7880 ALEXANDER PROMENADE PL STE 100
Second Line :
City : RALEIGH
State : NC
Zip : 27617-1918
Country : US
Telephone Number : 919-583-7223
Fax Number : 919-750-8149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2021
Last Update Date : 06/03/2022

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Directions to “ JOSHUA JOHNSON DPT” Practice Location

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