Michael Johnson, DPT, OCS, CSCS

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

9603 Issued in CT

Practice address

20 Ocean Ave
West Haven, CT 06516-7048

Phone

(203) 561-7714

NPI assigned

Nov 5, 2012

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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pryme Physical Therapy & Sports Medicine LLC

  • Physical Therapist
  • West Haven, CT
  • NPI 1285345637

  Sports

  Medicare reassignment NPD Authorized official
• Focus Physical Therapy & Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Berlin, CT
  • NPI 1780868505

  Sports

  Medicare reassignment NPD

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1255685723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16573",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065160983",
            "telephone_number": "860-422-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OCEAN AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065167048",
            "telephone_number": "203-561-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT,  OCS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CT",
            "license": "9603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Aaron Jobin
• Crystal Jobson, MD
• Jason Johannesen, PHD
• William David Johns, M.D.
• Barbara Carriero Johnson, RN, MS
• Aleshia Johny, PHARM.D.
• Jacob James Jones, MD
• Cassie Jordan, PHARM D, RPH
• Shazia Josephine Joseph, APRN
• Jeffrey Dean Joy, MBA, M.ED, CRC

• Sports Physical Therapist in West Haven, CT
• Providers in West Haven, CT by specialty
• Sports Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.