Kenneth R Johnson Jr., PT,DPT,OCS,FAAOMPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1182217 Issued in TX

Practice address

4065 E Plano Pkwy
Suite 220
Plano, TX 75074

Phone

(214) 886-5756

NPI assigned

Sep 8, 2008

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fit to Move PLLC

  • Physical Therapist
  • Plano, TX
  • NPI 1174201974
  Medicare reassignment NPD Authorized official
• Humpal Physical Therapy, P.C.

  • Physical Therapist
  • Corpus Christi, TX
  • NPI 1871525287
  NPD (past)

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1265680722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 WENTWORTH DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898491",
            "telephone_number": "214-886-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 E PLANO PKWY",
            "address_2": "SUITE 220",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75074",
            "telephone_number": "214-886-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "PT,DPT,OCS,FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1182217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Johnson, FNP-C
• Jakson Johnson
• Jean Johnson, LPC, LMFT
• Karrie Johnson, MPT
• Kathy Johnson, P. A.
• Kenya K Johnson, MS CCC SLP
• Kierra Johnson
• Kimberli Nekishia Johnson, M.D.
• Kyle Douglas Johnson, DDS
• Lindsay Michelle Johnson, LPT

• All providers in Plano, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.