Individual provider Active NPI

Michelle Anne Johnston

  • Hand Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1235758459
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
.0002011 Issued in CO
Practice address
4150 E Woodmen Rd Ste 200
Colorado Springs, CO 80920-8000
Phone
(719) 365-2821
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X .0002011 CO Primary

Addresses

Primary practice location

4150 E Woodmen Rd Ste 200
Colorado Springs, CO 80920-8000

Mailing address

4150 E Woodmen Rd Ste 200
Colorado Springs, CO 80920-8000
Phone (719) 365-2821

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.johnston@uchealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805002686 CO Practitioner - Occupational Therapist in Private Practice 8022555341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Springs Orthopaedic GroupGroup PAC ID 5395633747, 80 clinicians

Practice addresses (Care Compare)

4110 Briargate Pkwy
Suite 300
Colorado Springs, CO 80920-7837
Phone (719) 632-7669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
.0002011COMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Springs Orthopaedic Group Current Accepting new patients
Colorado Springs Orthopaedic Group CurrentSince Jul 1, 2024 Accepting new patients
Colorado Springs Orthopaedic Group CurrentSince Jul 1, 2024 Accepting new patients

Locations

1259 Lake Plaza Dr
Ste 100
Colorado Springs, CO 80906
Phone (719) 867-7335

4110 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 867-7329

1655 Quail Lake Loop
Colorado Springs, CO 80906
Phone (719) 417-4931

Organizations & group practices 3

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1235758459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 E WOODMEN RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208000",
            "telephone_number": "719-365-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 E WOODMEN RD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809208000",
            "telephone_number": "719-365-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CO",
            "license": ".0002011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.johnston@uchealth.org",
            "affiliation": "N",
            "address_1": "4150 E Woodmen Rd Ste 200",
            "city": "Colorado Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "809208000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.