JOHNSON PROSTHETICS & ORTHOTICS LLC NPI 1114893252

NPI Information

  • NPI: 1114893252
  • Provider Name: JOHNSON PROSTHETICS & ORTHOTICS LLC
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 1742 E JOYCE BLVD STE 1
    FAYETTEVILLE, AR
    ZIP 72703
  • Phone: (479) 485-3366

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NPI Details

JOHNSON PROSTHETICS & ORTHOTICS LLC is a prosthetic orthotic supplier in Fayetteville, AR. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. JOHNSON PROSTHETICS & ORTHOTICS LLC NPI is 1114893252. The provider is registered as an organization entity type.

The provider's business location address is:

1742 E JOYCE BLVD STE 1
FAYETTEVILLE, AR
ZIP 72703-260
Phone: (479) 485-3366
Fax: (479) 485-3305

The provider's authorized official is Greg Anthony Johnson .
The authorized official title is Cpo and has the following contact phone number (417) 726-9964.

The enumeration date for this NPI number is 10/15/2025 and was last updated on 10/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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