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Jon Robert Johnson, CPO,LPO
Prosthetist in Fort Worth, Texas
NPI 1366673303

Jon Robert Johnson is a Prosthetist based in Fort Worth, TX. Jon Robert Johnson practices in Fort Worth, TX and has the professional credentials of CPO,LPO. The NPI Number for Jon Robert Johnson is 1366673303 and holds a License No. 1273 (Texas).

The current practice location address for Jon Robert Johnson is 1101 W Vickery Blvd, Fort Worth, TX and can be reached out via phone at 682-303-3116 and via fax at 682-885-5606. You can also correspond with Jon Robert Johnson through the mailing address at PO BOX 99283, FORT WORTH, TX - 76199-1383 (mailing address contact number: 682-885-6294).

Location: 1101 W Vickery Blvd, Fort Worth, TX, 76199-1383
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366673303
Provider Name
Jon Robert Johnson
Credential
CPO,LPO
Provider Entity Type
Individual
Gender
Male
Address
1101 W Vickery Blvd, Fort Worth, TX, 76199-1383
Phone Number
682-303-3116
Fax Number
682-885-5606
Provider Enumeration Date
08/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1101 W Vickery Blvd
City
Fort Worth
State
Texas
Zip
76104-1025
Phone Number
682-303-3116
Fax Number
682-885-5606
person
Provider Business Mailing Address Details
Address
1101 W Vickery Blvd
City
Fort Worth
State
Texas
Zip
76104-1025
Phone Number
682-303-3116
Fax Number
682-885-5606
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
1273 (Texas)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
ATP94445 (Texas)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
1273 (Texas)
Definition
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.
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