Active NPI
Rachel M Johnston, PT
- Physical Therapist
- Warren, MN
National Provider Identifier
1184810327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7921
- Practice address
- 109 S Minnesota St
Warren, MN 56762-1428 - Phone
- (218) 745-3235
- NPI assigned
- Sep 21, 2007
- Last updated
- May 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7921 | MN | Primary |
Addresses
Primary practice location
109 S Minnesota St
Warren, MN 56762-1428
Mailing address
341 N West Ave
Warren, MN 56762-1000
Other names 1
- Rachel M Olson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7921 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1184810327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 N WEST AVE",
"city": "WARREN",
"state": "MN",
"postal_code": "567621000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 S MINNESOTA ST",
"city": "WARREN",
"state": "MN",
"postal_code": "567621428",
"telephone_number": "218-745-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "RACHEL",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-21",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "OLSON",
"middle_name": "M",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Warren, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.