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Mr. Phillip W Johnson, CPO
Prosthetist in Blacksburg, Virginia
NPI 1710185376

Phillip W Johnson is a Prosthetist based in Blacksburg, VA. Phillip W Johnson practices in Blacksburg, VA and has the professional credentials of CPO. The NPI Number for Phillip W Johnson is 1710185376 and holds a License No. CPO 02395 (Virginia).

The current practice location address for Phillip W Johnson is 3635 S Main St, Blacksburg, VA and can be reached out via phone at 540-951-2566 and via fax at 540-951-7818.

Location: 3635 S Main St, Blacksburg, VA, 24060-7019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710185376
Provider Name
Phillip W Johnson
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
3635 S Main St, Blacksburg, VA, 24060-7019
Phone Number
540-951-2566
Fax Number
540-951-7818
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5401900001 01 VA DMERC MEDICARE
175522 01 VA ANTHEM BCBS
institution
Provider Business Practice Location Address Details
Address
3635 S Main St
City
Blacksburg
State
Virginia
Zip
24060-7019
Phone Number
540-951-2566
Fax Number
540-951-7818
person
Provider Business Mailing Address Details
Address
3635 S Main St
City
Blacksburg
State
Virginia
Zip
24060-7019
Phone Number
540-951-2566
Fax Number
540-951-7818
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
CPO 02395 (Florida)
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.
CPO 02395 (Florida)
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.
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