Active NPI
Peter M Johnson, DPT
- Physical Therapist
- Erlanger, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008687
- Practice address
- 600 Rodeo Dr
Erlanger, KY 41018-1279 - Phone
- (513) 815-5585
- Fax
- (859) 342-0079
- NPI assigned
- Nov 3, 2022
- Last updated
- Nov 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008687 | KY | Primary |
Addresses
Primary practice location
600 Rodeo Dr
Erlanger, KY 41018-1279
Mailing address
6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 354-7662
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008687 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Orthopaedics & Sports Medicine, LTD | Physical Therapist | Current | Accepting new patients |
| Beacon Orthopaedics & Sports Medicine LTD | Current | Accepting new patients |
Locations
600 Rodeo Dr
Erlanger, KY 41018
Phone (513) 574-5400
6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650
Interoperability endpoints
- peter.johnson.p1@direct.beaconortho.nextgenshare.com
Organizations & group practices 2
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.
-
dba Ortho Foot and Ankle DBA OrthoAlliance of Ohio
- Orthopaedic Foot and Ankle Surgery Physician
- Worthington, OH
- NPI 1699472878
-
dba OrthoAlliance of Ohio
- Specialist
- Cincinnati, OH
- NPI 1386670065
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1073220430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 HARRISON AVE STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477961",
"telephone_number": "513-354-7662",
"fax_number": "513-354-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 RODEO DR",
"city": "ERLANGER",
"state": "KY",
"postal_code": "410181279",
"telephone_number": "513-815-5585",
"fax_number": "859-342-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "PETER",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "008687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erlanger, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.