Active NPI
Jared Thornton Johnson
- Physical Therapist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP019173T
- Practice address
- 4416 S Brandon St
Seattle, WA 98118-2341 - Phone
- (206) 721-3630
- NPI assigned
- Jun 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP019173T | WA | Primary |
| Physical Therapist | 225100000X |
Addresses
Primary practice location
4416 S Brandon St
Seattle, WA 98118-2341
Mailing address
1002 Saffell Rd
Reisterstown, MD 21136-6030
Phone (410) 596-9654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, RI, MD, WA
Enrollment records 5
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 50.36 of 100
- Quality
- 43.71
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP019173T | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Health Physical Therapy at Home, LLC. | Physical Therapist | Current | Accepting new patients |
| Pappas Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Medstar Health Physical Therapy at Home, LLC. | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Jackson Clinics Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Pappas Physical Therapy LLC | Current | Accepting new patients | |
| Maryland Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| The Jackson Clinics LLC | Physical Therapist | Past | Accepting new patients |
Locations
5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077
10980 Grantchester Way
Columbia, MD 21044
Phone (301) 202-1073
1100 Reservoir Ave
Cranston, RI 02910
Phone (401) 785-1016
1181 Aquidneck Ave
Middletown, RI 02842
Phone (401) 845-0840
730 Kingstown Rd
Unit A14
Wakefield, RI 02879
Phone (401) 284-3424
43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920
12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033
13039 Worldgate Dr
Herndon, VA 20170
Phone (703) 689-3164
8140 Ashton Ave
Ste 104
Manassas, VA 20109
Phone (703) 257-3333
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
13242 Aurora Ave N
Ste 103
Seattle, WA 98133
Phone (206) 420-0221
201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066
Organizations & group practices 10
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.
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Physical Therapist
-
- Rehabilitation Clinic/Center
- Columbia, MD
- NPI 1891472684
Physical Therapist
-
- Physical Therapy Clinic/Center
- Johnston, RI
- NPI 1851862692
Physical Therapist
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
-
- Physical Therapy Clinic/Center
- Ellensburg, WA
- NPI 1417648569
Physical Therapist
-
- Physical Therapist
- Washington, DC
- NPI 1811683923
-
- Durable Medical Equipment & Medical Supplies
- North Kingstown, RI
- NPI 1174246672
-
- Physical Therapist
- Middleburg, VA
- NPI 1427034982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1104310663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 SAFFELL RD",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211366030",
"telephone_number": "410-596-9654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4416 S BRANDON ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981182341",
"telephone_number": "206-721-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JARED",
"middle_name": "THORNTON",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-19",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "CP019173T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.