Levi R Johnson, D.P.T

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT60691763 Issued in WA

Practice address

3001 R Ave
Suite 110
Anacortes, WA 98221-4602

Phone

(360) 299-2781

Fax

(360) 299-3038

NPI assigned

Nov 30, 2016

Sex

Male

Sole proprietor

Yes

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skagit Island Rehabilitation Group LLCGroup PAC ID 9739469651, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Skagit Island Rehabilitation Group LLC

  • Physical Therapist
  • Oak Harbor, WA
  • NPI 1497102792

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Anacortes Physical Therapy, Inc., P.S.

  • Physical Therapist
  • Anacortes, WA
  • NPI 1386624997
  Medicare reassignment NPD
• Skagit Island Rehabilitation Group

  • Physical Therapist
  • Coupeville, WA
  • NPI 1467432088
  Medicare reassignment

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1184167702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 R AVE",
            "address_2": "SUITE 110",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214602",
            "telephone_number": "360-299-2781",
            "fax_number": "360-299-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 R AVE",
            "address_2": "SUITE 110",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214602",
            "telephone_number": "360-299-2781",
            "fax_number": "360-299-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LEVI",
        "middle_name": "R",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT60691763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S Hambleton MD PLLC
• Jennings Chiropractic, Inc., P.S.
• Carole Jenny, MD
• Diana G Johnson, RPH
• Jessica Gloria Johnson, SUDT
• Rachel Johnson, M. ED.
• Johnny Michael Jones, PA-C
• Clarence Hugh Jonson, N.D.
• Susan Mary Jordan, PAC
• Anita Maria Joseph

• Orthopedic Physical Therapist in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.