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Jon Robert Johnson , CPO, LPO

Prosthetist β€’ Fort Worth, TX

Active NPI 1366673303 Individual Practitioner Male Practitioner
Practice location in NPPES

1101 W Vickery Blvd
Fort Worth, TX 761041025

Call 6823033116 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1101 W Vickery Blvd

Fort Worth, TX 761041025

Telephone 6823033116
Fax 6828855606
Organization at the Same NPPES Address or Phone
Cook Childrens Home Health Facility NPI 1336119619

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Worth and Texas

15 active clinicians are listed under Prosthetist with a practice address in Fort Worth, TX (259 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Worth

0% of these 15 clinicians have the CMS telehealth indicator.

0% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-08
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

License # reported to NPPES TX 1273

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

License # reported to NPPES TX 1273

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Technician, Other

NUCC Taxonomy Code: 247200000X

License # reported to NPPES TX ATP94445

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 08, 2022

Registered at 1101 W VICKERY BLVD, FORT WORTH, TX 761041025 (Tel: 6823033116)

πŸ“
Updated Business Mailing Address September 08, 2022

Registered at PO BOX 99283, FORT WORTH, TX 761991383 (Tel: 6828856294)

βœ…
NPI Profile Active June 21, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 21, 2013

Registered at 1719 8TH AVE, FT WORTH, TX 761101349 (Tel: 6828853085)

πŸ“
Business Mailing Address (Initial Record) June 21, 2013

Registered at 1719 8TH AVE, FORT WORTH, TX 761101349 (Tel: 6828853085)

πŸ‘€
Provider Name / Credentials (Initial Record) June 21, 2013

Recorded as JON JOHNSON, CPO, LPO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2013

Orthotist (license number reported to NPPES: TX 1273)

🟒
Initial NPI Registration & Enumeration August 06, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366673303
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2009
Last Update: September 08, 2022
Sole Proprietor: No

Mailing Address

Po Box 99283

Fort Worth, TX 761991383

Phone: 6828856294

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.