Presley Ryan Johnson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH12117 Issued in AL

Practice address

3102 Rainbow Dr Ste 200
Rainbow City, AL 35906-5804

Phone

(256) 543-0717

Fax

(256) 543-0718

NPI assigned

Dec 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sparks Physical Therapy IncGroup PAC ID 5597195727, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sparks Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Rainbow City, AL
  • NPI 1285273748
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1073320719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 RAINBOW DR STE 200",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065804",
            "telephone_number": "256-543-0717",
            "fax_number": "256-543-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 RAINBOW DR STE 200",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065804",
            "telephone_number": "256-543-0717",
            "fax_number": "256-543-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PRESLEY",
        "middle_name": "RYAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH12117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jakes Place for Change, LLC
• Alyson James
• Robert Jenkins, TRAINING IN BAHVIOR
• Sherry Jenkins, ASSOCIATE COUNSELOR
• Jimmy W Bowlin Jr CRNP LLC
• Ivonne Rivera Joiner, CRNP
• Joni Jones, CNA, NLP
• Sophilus Hoyt Jones, LBSW
• Stephen Fred Jones, MD
• Zachary Steele Jones, PT, DPT

• Physical Therapist in Rainbow City, AL
• Providers in Rainbow City, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.