Michael A. Johnston, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05011255A Issued in IN

Practice address

71 Silhavy Rd
Suite 121
Valparaiso, IN 46383-4484

Phone

(219) 462-0576

Fax

(219) 462-0216

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Connecticut School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nichols Therapy Group P.C.Group PAC ID 0345229068, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Nichols Therapy Group PC

  • Physical Therapist
  • Star, ID
  • NPI 1043380769
  Medicare reassignment Care Compare group NPD
• Doctors Care, PA

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1366499048
  NPD (past)
• Progressive Phyiscal Therapy, PA

  • Physical Therapist
  • Columbia, SC
  • NPI 1487929105
  NPD (past)
• Progressive Physical Therapy, P.a.

  • Physical Therapist
  • Columbia, SC
  • NPI 1093762718
  NPD (past)
• Registered Physical Therapists LLC

  • Physical Therapy Clinic/Center
  • Sandy, UT
  • NPI 1477582633
  NPD (past)
• Sports Medicine Grant, Inc

  • Orthopaedic Surgery Physician
  • Columbus, OH
  • NPI 1588649842
  NPD (past)
• Zanesville Medical Center Inc

  • General Practice Physician
  • Zanesville, OH
  • NPI 1457619991
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1114979622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-795-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SILHAVY RD",
            "address_2": "SUITE 121",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463834484",
            "telephone_number": "219-462-0576",
            "fax_number": "219-462-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4088",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.012408",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011255A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1692",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maren Johnson
• Melanie Jean Johnson, M.A.
• Myana Johnson
• Shannon Johnson, MS, LMFT
• Megan Johnston, BA, CHW/CRS, CADAC I
• Bethanie Jones
• Callan Gannon Jones, CRNA
• Dutchess Jones
• Kathryn Jones, M.S.
• Kristine Jones

• Physical Therapist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.