Derek Paul Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8125 Issued in MN

Practice address

109 5TH St NE
Little Falls, MN 56345-2732

Phone

(320) 631-1104

Fax

(320) 631-1105

NPI assigned

Jul 2, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1164685913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 5TH ST NE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563452732",
            "telephone_number": "320-631-1104",
            "fax_number": "320-631-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 5TH ST NE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563452732",
            "telephone_number": "320-631-1104",
            "fax_number": "320-631-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DEREK",
        "middle_name": "PAUL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Husby, APRN, CNP, FNP-BC
• Independent Disability Services
• Kristin Jackson, D.P.M.
• Brittney Jelinski
• JMBB, LLC (Comfort Keepers)
• Jacquelyn Lee Johnson, C.N.P.
• Janine Johnson, RN, CNP
• Lisa Ann Johnson
• Paul Ryan Johnson, D.O.
• Randi Johnson, DDS

• Physical Therapist in Little Falls, MN
• Providers in Little Falls, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.