Richard Johnson · Sports Physical Therapist

15870 Frederick Rd, Woodbine, MD 21797-8528

Overview

Richard Johnson is a Sports Physical Therapist practicing in Woodbine, Maryland. The National Provider Identifier (NPI) is #1023864030, which was assigned on April 29, 2024, and the registration record was last updated on May 22, 2025. The practitioner's main practice location is at 15870 Frederick Rd, Woodbine, MD 21797-8528; the contact telephone number is 4108448185. The primary taxonomy of Richard Johnson is Sports Physical Therapist (2251S0007X), with specialization in Sports. Richard Johnson is licensed to practice in the state of Minnesota (#3779), Maryland (#30393).

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

Provider Information

NPI 1023864030
Entity Type Individual
Provider Name RICHARD JOHNSON
Gender Male
Practice Address 15870 Frederick Rd
Woodbine
MD 21797-8528
Practice Telephone 4108448185
Mailing Address 15870 Frederick Rd
Woodbine
MD 21797-8528
Certification Date 2025-05-22
Enumeration Date 2024-04-29
Last Update Date 2025-05-22
Is Sole Proprietor Y

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N2255A2300XSpecialist/TechnologistAthletic Trainer3779MN
Y2251S0007XPhysical TherapistSports30393MD

Secondary Practice Locations

AddressTelephoneFax
15308 Huntmere Ave, Cleveland, OH 4411013222169905834
2600 Vikings Cir, Eagan, MN 5512110002169905834

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Richard Johnson 501 Hammill Ln, Reno, NV 89511-1004Audiologist-Hearing Aid Fitter2006-09-07
Richard Johnson 69 Willowbend, Marquette, NE 68854-4301Clinical Social Worker2025-08-12

Taxonomy Information

Primary Taxonomy

Code 2251S0007X
Taxonomy Sports Physical Therapist
Classification Physical Therapist
Specialization Sports
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Notes: Source: American Physical Therapy Association [1/1/2020: definition added] Additional resources: http://www.abpts.org/uploadedFiles/ABPTSorg/Specialist_Certification/DSP/DSP-Sports.pdf

Other Taxonomy

Code 2255A2300X
Taxonomy Athletic Trainer
Classification Specialist/Technologist
Specialization Athletic Trainer
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers' Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Top Shelf Physical Therapy LLC 10 Inverness Dr E Ste 101, Englewood, CO 80112-5611Sports Physical Therapist2025-09-05
Jacob Richard Genord 963 N 129th Infantry Dr, Joliet, IL 60435-3104Sports Physical Therapist2025-07-07
Robby Wayne Dilg 1030 S Medical Dr Ste B, Brigham City, UT 84302-3119Sports Physical Therapist2025-08-25
Max Performance Physical Therapy 4016 State St, Bettendorf, IA 52722-6131Sports Physical Therapist2025-08-28
Paris Collins · Oativa Smith-Brown 1180 Satellite Blvd Nw, Suwanee, GA 30024-4636Sports Physical Therapist2025-07-29
Austin Clemetson 4155 Legion Ln Ste 2, Casper, WY 82609-1945Sports Physical Therapist2025-08-12
Evan Chandler Jones 3507 S Mercy Rd, Gilbert, AZ 85297-0441Sports Physical Therapist2025-08-25
Haneef Malik Zakee 24491 Alicia Pkwy, Mission Viejo, CA 92691-4506Sports Physical Therapist2025-08-14
Miles Moore 9305 Pinecroft Dr, Spring, TX 77380-3482Sports Physical Therapist2025-08-30
Eclipse Sports Rehab and Performance 108 N State St, Fl 4, Chicago, IL 60602Sports Physical Therapist2025-07-11
Find all providers with the same taxonomy

Location Information

Street Address 15870 FREDERICK RD
City WOODBINE
State MD
Zip Code 21797-8528
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Bianca Armand 712 Lisbon Center Dr Ste E, Woodbine, MD 21797-8600Dentist2025-06-16
Katelyn Todd 760 Chessie Crossing Way, Woodbine, MD 21797-8768Family Nurse Practitioner2022-01-15
Helena Bobola · Helen Huang Wang 703 Lisbon Center Dr Ste D, Woodbine, MD 21797-8632Optometrist2016-07-07

Providers in the same city

Provider NameAddressTaxonomyEnumeration Date
Jodi Palmer 408 Bedell Ave, Woodbine, GA 31569-3585Behavior Technician2025-09-02
Shawn Kennedy Sullivan 523 Walker St, Woodbine, IA 51579-1260Counselor2025-08-13
Brittany Wensel 1001 Park St, Woodbine, IA 51579-1034Family Nurse Practitioner2025-06-27

Providers in the state of MD

Provider NameAddressTaxonomyEnumeration Date
Rebecca Ann Jackson 428 E 25th St, Baltimore, MD 21218-5304Mental Health Counselor2025-09-05
Chloe Ring 9475 Deereco Rd Ste 410, Lutherville Timonium, MD 21093-2124Mental Health Counselor2025-09-06
Adazah Health Systems Inc 10502 Elders Hollow Dr, Bowie, MD 20721-1838Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2025-09-06
Shalena Renee Hooper 1401 Mercantile Ln Ste 423, Largo, MD 20774-4323Rehabilitation Practitioner2025-09-06
Alexandra Mccann 1211 Oak Harbor Ct, Pasadena, MD 21122-5358Physician Assistant2025-09-06
Home Xray Imaging Services 10711 Red Run Blvd Ste 101, Owings Mills, MD 21117-5138Diagnostic Radiology Physician2025-09-06
Lache Wilkins 3600 Clipper Mill Rd, Baltimore, MD 21211-1948Mental Health Counselor2025-09-06
Melida Hines 4494 Palmer Rd N Walter Reed National Medical Center, Bethesda, MD 20889-0001Student in an Organized Health Care Education/Training Program2025-09-06
Inasa Healthcare LLC 4416 Fitch Ave, Nottingham, MD 21236-3907Psychiatric/Mental Health Nurse Practitioner2025-09-05
Emily Ann Gardiner 3333 N Calvert St, Baltimore, MD 21218-2867Student in an Organized Health Care Education/Training Program2025-09-06
Find all providers in the state of MD

Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Latonya Mychele Johnson · Tajae Johnson 3055 Berrum Pl Apt 116, Reno, NV 89509-4544Home Health Aide2025-02-03
Richard Gavin Johnson 11011 Q St Ste 101c, Omaha, NE 68137-3700Chore Provider2025-06-16
Jeffrey Richard Johnson 3990 John R St, Detroit, MI 48201-2018Maternal & Fetal Medicine Physician2006-01-23
Donald Edward Johnson · Don E Johnson 4301 West Seventh St, Little Rock, AR 72205Urology Physician2006-10-18
Johnson and Johnson Home Health, Inc. 251 W Lancaster Ave # 1845, Fort Worth, TX 76102-9702Home Health Agency2025-04-02
Keilah Johnson · Koenraad Johnson 1675 18th Ave, Greeley, CO 80631-5112Behavior Technician2024-11-25
Therese Maszatics Johnson · Terri L.M. Johnson 4949 Coolidge Hwy, Royal Oak, MI 48073-1026Adult Medicine Physician2006-06-07
Richard Lazarus · Richard Cruz 2523 Herschel St, Jacksonville, FL 32204-4509Psychiatric/Mental Health Nurse Practitioner2023-09-12
Richard B Johnson Jr. 703 Hill Country Dr, Suite 101, Kerrville, TX 78028-6159Internal Medicine Physician2005-12-16
Richard Johnson Jr. 502 Hazelhurst Ave, Richmond, VA 23222-2825Driver2017-08-14

Improve Information

Do you have more infomration about Richard Johnson? Please fill in the following form.


Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.