Individual provider · Type 1 NPI

Jon Robert Johnson, CPO, LPO

Prosthetist · Fort Worth, TX

NPI number 1366673303 Active

Practice location

1101 W Vickery Blvd
Fort Worth, TX 76104-1025

Fax (682) 885-5606

Mailing address

PO Box 99283
Fort Worth, TX 76199-1383

Specialties and licenses

TaxonomyCodeLicense
Orthotist 222Z00000X1273 (TX)
Other Technician 247200000XATP94445 (TX)
Prosthetist Primary 224P00000X1273 (TX)

Prosthetist: 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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About NPI 1366673303

Jon Robert Johnson, CPO, LPO's National Provider Identifier is 1366673303, issued on Aug 6, 2009. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 8, 2022.