Thomas Dale Johnson in Tempe - Pediatrics
Thomas Dale Johnson - NPI 1225184047
Thomas Dale Johnson is a Pediatrics in Tempe, Arizona. Thomas Dale Johnson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Thomas Dale Johnson is 1225184047. The last update date is 2018-05-11.
Thomas Dale Johnson's current location address is 1930 E Southern Ave, Tempe, Arizona. You can contact this provider via phone number 4804560719 and fax number 4804560163. The mailing address for Thomas Dale Johnson is 1930 E Southern Ave, Tempe, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Dale Johnson |
|---|---|
| Address | 1930 E Southern Ave, Tempe, Arizona |
| Phone Number | 4804560719 |
| Fax Number | 4804560163 |
| Sole Proprietor | Y |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1225184047 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2018-05-11 |
Provider Mailing Address Detail
| Address | 1930 E Southern Ave |
|---|---|
| City | Tempe |
| State | Arizona (AZ) |
| Post Code | 852827518 |
| Phone Number | 4804560719 |
| Fax Number | 4804560163 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 3282 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 390279 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Thomas Dale Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Thomas Dale Johnson has been assigned the NPI (National Provider Identifier) 1225184047. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Thomas Dale Johnson's physical address?
The Thomas Dale Johnson is physically located at 1930 E Southern Ave, in the city of Tempe, AZ, with the postal code 852827518.
What is Thomas Dale Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Thomas Dale Johnson is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225184047 to Thomas Dale Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1225184047 to Thomas Dale Johnson on 2007-01-26.
When was the information regarding Thomas Dale Johnson most recently updated?
The details pertaining to the Thomas Dale Johnson, including its address, specialty, and other relevant information, were last refreshed on 2018-05-11.