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Active NPI 1366673303 Individual Practitioner Male Practitioner

Jon Robert Johnson , CPO, LPO

Prosthetist • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Jon Johnson, CPO, LPO is a registered healthcare professional specializing in Prosthetist in Fort Worth, TX. Practice services are available at 1101 W VICKERY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1101 W Vickery Blvd

Fort Worth, TX 761041025

Telephone 6823033116
Fax 6828855606
Associated Practice Facility / Clinic
🏢 Cook Childrens Home Health Facility NPI 1336119619

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Fort Worth, TX (259 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-08
Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License 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

State License 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

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Seth Burton , ATP

Technician, Other

NPI 1013266758
Benjamin Hebron , ATP

Technician, Other

NPI 1871275602

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 08, 2022

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

📍
Updated Business Mailing Address September 08, 2022

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

NPI Profile Active June 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2013

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

📍
Updated Business Mailing Address June 21, 2013

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

👤
Provider Name / Credentials Updated June 21, 2013

Recorded as JON JOHNSON, CPO, LPO

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

Orthotist (License #1273 in TX)

🟢
Initial NPI Registration & Enumeration August 06, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.