Phillip Andrew Johannessen, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

Practice address

8502 N Nevada St # 2
Spokane, WA 99208-7395

Phone

(509) 464-4970

NPI assigned

Jan 17, 2025

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": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1194536227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E WESTCREST RD",
            "city": "COLBERT",
            "state": "WA",
            "postal_code": "990058724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8502 N NEVADA ST # 2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992087395",
            "telephone_number": "509-464-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNESSEN",
        "first_name": "PHILLIP",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JNM Compassion Healthcare Inc
• Joan C Zimmer, Arnp, P.S.
• Jodi W Funk
• Joel Morris DMD PLLC
• Kristin Leonora Joham, CCC-SLP
• John a. Adams, M.D., P.S.
• John Andrew Van Gemert DDS PS
• John O'Neill, Licsw, PLLC
• John R Quinn
• John V Billings Arnp PC

• Geriatric Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Geriatric Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.