Individual provider Active NPI

Brianna Hope Johnson, DPT

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1073357117
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12409 Issued in SC
Practice address
142 Sportsman Island Dr Ste F
Charleston, SC 29492-8524
Phone
(843) 377-8820
Fax
(843) 377-8823
NPI assigned
Jun 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH11859 AL
Physical Therapist 225100000X 12409 SC Primary

Addresses

Primary practice location

142 Sportsman Island Dr Ste F
Charleston, SC 29492-8524

Mailing address

5111 N Rhett Ave
North Charleston, SC 29405-4219
Phone (843) 804-9479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910001280 SC Practitioner - Physical Therapist in Private Practice 6002356664 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imagine Physical Therapy on Daniel Island LLCGroup PAC ID 9133294077, 2 clinicians

Practice addresses (Care Compare)

142 Sportsman Island Dr
Suite F
Charleston, SC 29492-8524
Phone (843) 377-8820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH11859ALMDPhysical Therapist
12409SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Physical Therapy on Daniel Island LLC Physical Therapist CurrentSince Jul 24, 2024 Accepting new patients
Love of Language CurrentSince Jun 30, 2024 Accepting new patients
Imagine Physical Therapy Old Village LLC Physical Therapist CurrentSince Jul 24, 2024 Accepting new patients
Imagine Physical Therapy North Rhett LLC Physical Therapist CurrentSince Jul 24, 2024 Accepting new patients
Imagine Physical Therapy in West Ashley, LLC Physical Therapist CurrentSince Jul 24, 2024 Accepting new patients
Imagine Physical Therapy LLC Physical Therapist CurrentSince Jul 24, 2024 Accepting new patients

Locations

142 Sportsman Island Dr
Ste F
Charleston, SC 29492
Phone (843) 377-8820

2267 Ashley River Rd
Charleston, SC 29414
Phone (843) 576-4121

1304 Erckmann Dr
Ste C
Mt Pleasant, SC 29464
Phone (843) 804-9479

5111 N Rhett Ave
North Charleston, SC 29405
Phone (843) 352-4952

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1073357117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N RHETT AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054219",
            "telephone_number": "843-804-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SPORTSMAN ISLAND DR STE F",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928524",
            "telephone_number": "843-377-8820",
            "fax_number": "843-377-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRIANNA",
        "middle_name": "HOPE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11859",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.