Individual provider Active NPI

Kyle Johnston, DPT, PT

  • Physical Therapist
  • Ocean Shores, WA
National Provider Identifier
1245842244
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61039221 Issued in WA
Practice address
885 Point Brown Ave NW
Ocean Shores, WA 98569-9682
Phone
(360) 289-0251
Fax
(360) 289-3226
NPI assigned
Aug 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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 PT61039221 WA Primary

Addresses

Primary practice location

885 Point Brown Ave NW
Ocean Shores, WA 98569-9682

Mailing address

885 Point Brown Ave NW
Ocean Shores, WA 98569-9682
Phone (360) 289-0251

Other practice location 1

501 8th St
Hoquiam, WA 98550-3520
Phone (360) 532-0544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201109001684 WA Practitioner - Physical Therapist in Private Practice 4981014669 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partnering Together IncGroup PAC ID 5698797801, 3 clinicians
Daniel Carl Burns MSPT Inc PSGroup PAC ID 6800783861, 3 clinicians

Practice addresses (Care Compare)

501 8TH St
Hoquiam, WA 98550-3520
Phone (360) 532-0544

885 Point Brown Ave NW
Ocean Shores, WA 98569-9682
Phone (360) 289-0251

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
96.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61039221WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Carl Burns MSPT Inc PS Physical Therapist CurrentSince Aug 27, 2020 Accepting new patients
Partnering Together Inc Physical Therapist CurrentSince Aug 27, 2020 Accepting new patients

Locations

501 8th St
Hoquiam, WA 98550
Phone (360) 532-0544

885 Point Brown Ave NW
Ocean Shores, WA 98569
Phone (360) 289-0251

Organizations & group practices 2

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": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1245842244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 POINT BROWN AVE NW",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "985699682",
            "telephone_number": "360-289-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 POINT BROWN AVE NW",
            "city": "OCEAN SHORES",
            "state": "WA",
            "postal_code": "985699682",
            "telephone_number": "360-289-0251",
            "fax_number": "360-289-3226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 8th St",
            "address_purpose": "LOCATION",
            "city": "Hoquiam",
            "state": "WA",
            "postal_code": "985503520",
            "country_code": "US",
            "telephone_number": "360-532-0544",
            "fax_number": "360-532-0559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KYLE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61039221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Shores, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; 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.