Individual provider Active NPI

Ellen Johnson, DPT

  • Physical Therapist
  • Chanhassen, MN
National Provider Identifier
1144899709
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7872 Century Boulevand
Chanhassen, MN 55317
Phone
(952) 448-9081
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

7872 Century Boulevand
Chanhassen, MN 55317

Mailing address

7872 Century Boulevand
Chanhassen, MN 55317
Phone (952) 448-9081

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712001023 MN Practitioner - Physical Therapist in Private Practice 0143622373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osr Physical Therapy Limited Partnership CurrentSince Jun 10, 2021 Accepting new patients
Osr Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 10, 2021 Accepting new patients

Locations

7872 Century Blvd
Chanhassen, MN 55317
Phone (952) 448-9081

110105 Pioneer Trl W
Ste 201
Chaska, MN 55318
Phone (952) 512-2470

5101 Highway 101
Minnetonka, MN 55345
Phone (952) 512-2400

1667 17th Ave E
Ste 107
Shakopee, MN 55379
Phone (952) 224-8120

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osr Physical Therapy Limited Partnership 14 clinicians

Practice addresses (Care Compare)

406 Faxon Rd N
Suite 150
Norwood Young America, MN 55368-9507
Phone (952) 213-2474

5101 County Rd
Suite 101
Minnetonka, MN 55345-4105
Phone (952) 512-2400

7872 Century Blvd
Chanhassen, MN 55317-8005
Phone (952) 448-9081

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1144899709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7872 CENTURY BOULEVAND",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "55317",
            "telephone_number": "952-448-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7872 CENTURY BOULEVAND",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "55317",
            "telephone_number": "952-448-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELLEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.