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Active NPI 1710185376 Individual Practitioner Male Practitioner

Phillip W Johnson , CPO

Orthotist • Blacksburg, VA

Professional Overview & Biography Verified Profile Summary

Phillip Johnson, CPO is a registered healthcare professional specializing in Orthotist in Blacksburg, VA. Practice services are available at 3635 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3635 S Main St
Suite A

Blacksburg, VA 240607019

Telephone 5409512566
Fax 5409517818
Associated Practice Facility / Clinic
🏢 Phillip Johnson Facility NPI 1265616528

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthotist in Blacksburg, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Blacksburg, VA (24 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

Orthotist Primary Specialty

NUCC Taxonomy Code: 222Z00000X

State License FL CPO 02395

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.

Prosthetist

NUCC Taxonomy Code: 224P00000X

State License FL CPO 02395

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dmerc Medicare
5401900001 (VA)
Commercial Insurance / Payer ID Anthem Bcbs
175522 (VA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 21, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 21, 2007

Registered at 3635 S MAIN ST, SUITE A, BLACKSBURG, VA 240607019 (Tel: 5409512566)

📍
Updated Business Mailing Address December 21, 2007

Registered at 3635 S MAIN ST, SUITE A, BLACKSBURG, VA 240607019 (Tel: 5409512566)

👤
Provider Name / Credentials Updated December 21, 2007

Recorded as PHILLIP JOHNSON, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2007

Orthotist (License #CPO 02395 in FL)

🟢
Initial NPI Registration & Enumeration July 05, 2007

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: 1710185376
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2007
Last Update: December 21, 2007
Sole Proprietor: No

Mailing Address

3635 S Main St, Suite A

Blacksburg, VA 240607019

Phone: 5409512566

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.