Active NPI
Teryn Johnson
- Physical Therapist
- Chanute, KS
National Provider Identifier
1033092689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 629 S Plummer Ave
Chanute, KS 66720-1928 - Phone
- (620) 431-4000
- NPI assigned
- Jul 30, 2025
- Sex
- Male
- Sole proprietor
- No
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)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
629 S Plummer Ave
Chanute, KS 66720-1928
Mailing address
10601 W 75TH Ter Apt 202
Shawnee, KS 66214-1172
Phone (620) 212-4743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 30, 2025.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1033092689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10601 W 75TH TER APT 202",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662141172",
"telephone_number": "620-212-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 S PLUMMER AVE",
"city": "CHANUTE",
"state": "KS",
"postal_code": "667201928",
"telephone_number": "620-431-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TERYN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-30",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chanute, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.