JON ROBERT JOHNSON CPO, LPO
NPI 1366673303
Prosthetist in Fort Worth, TX

Q: What is Jon Johnson's NPI number?

The NPI number for Jon Johnson is 1366673303. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Q: What is Jon Johnson's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jon Johnson was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 06, 2009

1101 W VICKERY BLVD, FORT WORTH, TX 76104(682) 303-3116(682) 885-5606 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jon Robert Johnson Cpo, Lpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JON ROBERT JOHNSON CPO, LPO (NPI 1366673303) is an individual prosthetist provider in Fort Worth, Texas, licensed in Texas (1273) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1366673303

Entity TypeIndividualMale

Primary Taxonomy224P00000X

Provider Legal NameJON ROBERT JOHNSONCredential: CPO, LPO

Location Address1101 W VICKERY BLVDFort Worth, TX 76104-1025

Mailing AddressPo Box 99283Fort Worth, TX 76199-1383 · (682) 885-6294 · Fax (682) 885-5606

Phone(682) 303-3116

Fax(682) 885-5606

Sole ProprietorNo

Enumeration DateAugust 6, 2009

Last NPPES UpdateSeptember 8, 2022

NPPES CertifiedSeptember 8, 2022

✔ NPI 1366673303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224P00000X

License✔ Licensed in TX · 1273

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.

Also ListedOrthotistTaxonomy 222Z00000X · License 1273 (TX)

Also ListedTechnician, OtherTaxonomy 247200000X · License ATP94445 (TX)

1101 W VICKERY BLVD, Fort Worth, TX 76104

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEX KENNETH GOTTLEABER ATP

Technician, Other