Gregory Paul Johnson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1187290 Issued in TX

Practice address

986 Quail RDG
Keller, TX 76248-2925

Phone

(903) 818-7696

NPI assigned

Mar 21, 2012

Sex

Male

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willis Physical Therapy Group PLLCGroup PAC ID 2466783980, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Willis Physical Therapy Group PLLC

  • Physical Therapist
  • Greenville, TX
  • NPI 1780239020
  Medicare reassignment Care Compare group NPD
• Axis Brain and Back Institute PLLC

  • Neurological Surgery Physician
  • Southlake, TX
  • NPI 1689085193

  Physical Therapist

  Medicare reassignment NPD
• Rise Physical Medicine, PLLC

  • Physical Therapist
  • Keller, TX
  • NPI 1427679497
  NPD Authorized official

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1093080228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 QUAIL RDG",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482925",
            "telephone_number": "903-818-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 QUAIL RDG",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482925",
            "telephone_number": "903-818-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1187290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Brooke Jennings, OTR, MOT
• Christina Nichole Jimenez, PHARMD.
• Megan Jodray, PHARMD
• Taylor J Johnsen, PA-C
• Bethany K Johnson, CPM, LM
• Katie Leighanne Johnson
• Kelly Johnson, LPC-A
• Koren K Johnson, OTR
• Lindsay Elizabeth Johnson, DOULA
• Paul Johnson, LPC-ASSOCIATE

• Physical Therapist in Keller, TX
• Providers in Keller, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.