SearchNew York225100000X

Matthew Johnson, PT, DPT, LAT, ATC

NPI 1487058582 · on the registry since 2014 · sole proprietor

Practice

Address
27 Whittier Dr
Greenlawn, NY 11740
Phone
(631) 754-6730

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
2255A2300X
2255A2300X
390200000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York