Active NPI
Achim Deon Johnson, PT,DPT
- Physical Therapist
- Deland, FL
National Provider Identifier
1134838865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1370684
- Practice address
- 324 W Victoria Trails Blvd
Deland, FL 32724-8853 - Phone
- (386) 589-6406
- NPI assigned
- Nov 21, 2022
- 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 | PT39461 | FL | |
| Physical Therapist | 225100000X | 1370684 | TX | Primary |
Addresses
Primary practice location
324 W Victoria Trails Blvd
Deland, FL 32724-8853
Mailing address
PO Box 603
Deland, FL 32721-0603
Phone (386) 589-6406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 State St
Suite 225
Southlake, TX 76092-7632
Phone (866) 525-3175
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.26 of 100
- Quality
- 89.74
- Improvement activities
- 40
- Cost
- 61.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT39461 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
Locations
7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
Organizations & group practices 3
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 Therapist
- Southlake, TX
- NPI 1790309656
-
- Physical Therapist
- North Richland Hills, TX
- NPI 1427454164
-
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1134838865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603",
"city": "DELAND",
"state": "FL",
"postal_code": "327210603",
"telephone_number": "386-589-6406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 W VICTORIA TRAILS BLVD",
"city": "DELAND",
"state": "FL",
"postal_code": "327248853",
"telephone_number": "386-589-6406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ACHIM",
"middle_name": "DEON",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-21",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT39461",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1370684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.