Individual provider Active NPI

Sean Austin Johnston, DPT

  • Neurology Physical Therapist
  • Temecula, CA
National Provider Identifier
1023553336
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
292557 Issued in CA
Practice address
41743 Enterprise Cir N
106
Temecula, CA 92590-5645
Phone
(951) 302-0278
NPI assigned
Dec 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 292557 CA Primary

Addresses

Primary practice location

41743 Enterprise Cir N
106
Temecula, CA 92590-5645

Mailing address

41743 Enterprise Cir N
106
Temecula, CA 92590-5645
Phone (951) 302-0278

Other identifiers 1

IdentifierTypeStateIssuer
292557OtherCACALIFORNIA DPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1023553336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41743 ENTERPRISE CIR N",
            "address_2": "106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905645",
            "telephone_number": "951-302-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41743 ENTERPRISE CIR N",
            "address_2": "106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905645",
            "telephone_number": "951-302-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SEAN",
        "middle_name": "AUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "292557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DPT LICENSE",
            "identifier": "292557",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.