Richard Johnson

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

30393 Issued in MD

Practice address

15870 Frederick Rd
Woodbine, MD 21797-8528

Phone

(410) 844-8185

NPI assigned

Apr 29, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

True Sports Physical Therapy, LLCGroup PAC ID 5496975849, 60 clinicians

Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Maryland Luna Care Physical Therapy LLC

  • Physical Therapist
  • Chevy Chase, MD
  • NPI 1083340988

  DC

  Medicare reassignment Care Compare group NPD
• True Sports Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Baltimore, MD
  • NPI 1114357340

  Sports

  Medicare reassignment Care Compare group NPD
• Medstar Health Physical Therapy at Home, LLC.

  • Rehabilitation Clinic/Center
  • Columbia, MD
  • NPI 1891472684
  Medicare reassignment NPD
• Medstar Health Physical Therapy at Home, LLC.

  • Physical Therapist
  • Washington, DC
  • NPI 1811683923

  Sports

  NPD

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1023864030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15870 FREDERICK RD",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15870 FREDERICK RD",
            "city": "WOODBINE",
            "state": "MD",
            "postal_code": "217978528",
            "telephone_number": "410-844-8185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15308 Huntmere Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441101322",
            "country_code": "US",
            "telephone_number": "216-990-5834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Vikings Cir",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551211000",
            "country_code": "US",
            "telephone_number": "216-990-5834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "3779",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MD",
            "license": "30393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Wang Bobola, OD, LLC (Woodbine Eye Care)
• Timothy James Holdredge, DPT
• Joanne Hoyle, RN, LMT
• Inner Group Inc.
• Jeevon LLC
• Delaney Yvonne Kelly, NP
• Laura King, LAC, RDN, LDN
• Clare Kinney, PT, DPT
• Mary Kurikeshu
• Alice Marianne Lafever, M.D.

• Sports Physical Therapist in Woodbine, MD
• Providers in Woodbine, MD by specialty
• Sports Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.