Robert S Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3349024 Issued in WI

Practice address

2509 County Highway I
Chippewa Falls, WI 54729-2785

Phone

(715) 723-9138

NPI assigned

Jul 31, 2006

Last updated

May 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chippewa Valley Physical Therapy SC

  • Physical Therapist
  • Chippewa Falls, WI
  • NPI 1558375493
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1013923184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547290016",
            "telephone_number": "715-497-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 COUNTY HIGHWAY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292785",
            "telephone_number": "715-723-9138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Summit Ct",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547293599",
            "country_code": "US",
            "telephone_number": "715-726-1010",
            "fax_number": "715-726-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBERT",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3349024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40161400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane M Jensen
• Tiffany Ann Jensen, LPN
• Beth A Jewell, PA-C
• Kathryn L Johnson, MA, LPC
• Michael Todd Johnson, CMT
• Shani T Johnson, PT,DSCPT,CMPT
• Jennifer Joseph, PAC
• Dane Jusula, LCSW
• Drew M Kaminski, D.C
• Kaylen Kammers

• Physical Therapist in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.