Chaz Caleb Johnson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2019001117 Issued in MO

Practice address

139 N Belt Hwy Ste N
Saint Joseph, MO 64506-3445

Phone

(816) 232-1137

Fax

(816) 232-1331

NPI assigned

Oct 22, 2018

Last updated

Aug 17, 2022By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arc Physical Therapy Plus LPGroup PAC ID 6204050453, 59 clinicians

Empowerme Rehabilitation Missouri LLCGroup PAC ID 9234402470, 207 clinicians

Key Rehabilitation IncGroup PAC ID 9638086432, 59 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowerme Rehabilitation Missouri LLC

  dba EmpowerMe Rehab St. Charles

  • Multi-Specialty Clinic/Center
  • Saint Charles, MO
  • NPI 1417479494

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Key Rehabilitation,Inc.

  dba GeroPsych, a division of Key Rehabilitation, Inc.

  • Psychologist
  • Salem, MO
  • NPI 1821335613
  Medicare reassignment Care Compare group NPD
• Arc Physical Therapy Plus LP

  • Physical Therapist
  • Overland Park, KS
  • NPI 1851715353

  MO

  Medicare reassignment Care Compare group NPD
• Empowerme Wellness Kansas City, LLC

  • Multi-Specialty Clinic/Center
  • Kansas City, MO
  • NPI 1083208391

  Physical Therapist

  Medicare reassignment NPD
• Arc Physical Therapy Plus LP

  • Durable Medical Equipment & Medical Supplies
  • Kansas City, MO
  • NPI 1568180545
  NPD
• Empowerme Rehabilitation Missouri LLC

  • Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1558932327

  Physical Therapist

  NPD
• Empowerme Wellness Kansas City, LLC

  • Rehabilitation Clinic/Center
  • Liberty, MO
  • NPI 1174299044
  NPD
• Key Rehabilitation Inc

  • Rehabilitation Hospital Unit
  • Carthage, MO
  • NPI 1588781686
  NPD
• Key Rehabilitation, Inc

  dba GeroPsych, a division of Key Rehabilitation, Inc

  • Clinical Psychologist
  • Fargo, ND
  • NPI 1679328975
  NPD

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1073089546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217297",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N BELT HWY STE N",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063445",
            "telephone_number": "816-232-1137",
            "fax_number": "816-232-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 Hickman Mills Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641371620",
            "country_code": "US",
            "telephone_number": "816-877-0561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5404 NE Antioch Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641192507",
            "country_code": "US",
            "telephone_number": "816-454-5818",
            "fax_number": "816-454-5994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10015 N Ambassador Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641531437",
            "country_code": "US",
            "telephone_number": "816-891-7162",
            "fax_number": "816-891-6704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5506 Corporate Dr Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "64507",
            "country_code": "US",
            "telephone_number": "816-232-9420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHAZ",
        "middle_name": "CALEB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3888",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "093145",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019001117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbey Jin, PHARMD
• JKM DME, Inc (Care4All Home Medical Equipment)
• Tesa Jobson, PHARMD
• Zach John, ATC
• Amanda Johnson-Sollars, APRN
• Diane Marie Johnson, MS, LPC, NCC
• Jacqueline Johnson
• Jessica Johnson
• Julia Rose Johnson, NP
• Larry Clinton Johnson, FNP

• Physical Therapist in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.