Individual provider Active NPI

Nicolina M Johnston, PT

  • Physical Therapist
  • Charleston, WV
National Provider Identifier
1205933090
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002120 Issued in WV
Practice address
6 Courtney Dr
Sedgley Office Park
Charleston, WV 25304-2696
Phone
(304) 720-5433
Fax
(304) 720-5436
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 002120 WV Primary

Addresses

Primary practice location

6 Courtney Dr
Sedgley Office Park
Charleston, WV 25304-2696

Mailing address

6 Courtney Dr
Sedgley Office Park
Charleston, WV 25304-2696
Phone (304) 720-5433

Other identifiers 1

IdentifierTypeStateIssuer
3810004820MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000273 WV Practitioner - Physical Therapist in Private Practice 6800872367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Settlement Physical TherapyGroup PAC ID 7113914631, shared by 5 NPIs, 97 clinicians

Practice addresses (Care Compare)

1001 Bridge Rd
Charleston, WV 25314-1305
Phone (304) 759-8428

313 Maccorkle Ave SW
South Charleston, WV 25303-1263
Phone (304) 746-3704

Merit-based Incentive Payment System (MIPS)

Final score
87.35 of 100Reported as group
Quality
87.12
Promoting interoperability
100
Improvement activities
40
Cost
70.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002120WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Settlement Physical Therapy Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
First Settlement Physical Therapy Physical Therapist Current Accepting new patients
First Settlement Physical Therapy Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
First Settlement Phycial Therapy Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Dynamic Physical Therapy and Hand Center, LLC Physical Therapist Past Accepting new patients
DPT, Inc Physical Therapist PastSince Mar 12, 2015 Accepting new patients

Locations

1001 Bridge Rd
Charleston, WV 25314
Phone (304) 759-8428

1405 Elizabeth Pike
Ste 103
Mineral Wells, WV 26150
Phone (304) 451-3150

2837 Pike St
#A
Parkersburg, WV 26101
Phone (304) 489-2230

240 Washington St
Ravenswood, WV 26164
Phone (304) 273-8071

313 Maccorkle Ave SW
South Charleston, WV 25303
Phone (304) 744-2300

1500 Grand Central Ave
Ste 101
Vienna, WV 26105
Phone (304) 295-3060

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205933090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COURTNEY DR",
            "address_2": "SEDGLEY OFFICE PARK",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042696",
            "telephone_number": "304-720-5433",
            "fax_number": "304-720-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COURTNEY DR",
            "address_2": "SEDGLEY OFFICE PARK",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253042696",
            "telephone_number": "304-720-5433",
            "fax_number": "304-720-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "NICOLINA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "002120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004820",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.