Individual provider Active NPI

Carrin Johnston

  • Physical Therapist
  • Gloversville, NY
National Provider Identifier
1285157057
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P06264 Issued in NY
Practice address
41 Arterial PLZ
Gloversville, NY 12078-2512
Phone
(518) 775-9554
Fax
(518) 773-7747
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 P06264 NY Primary

Addresses

Primary practice location

41 Arterial PLZ
Gloversville, NY 12078-2512

Mailing address

41 Arterial PLZ
Gloversville, NY 12078-2512
Phone (518) 775-9554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171016002860 NY Practitioner - Physical Therapist in Private Practice 2769758994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Health Physical TherapyGroup PAC ID 1456672591, 9 clinicians

Practice addresses (Care Compare)

309 W Montgomery St
Suite 16a
Johnstown, NY 12095-2435
Phone (518) 619-8991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042134NYMDPharmacist
P06264NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Health Physical Therapy Physical Therapist CurrentSince Aug 9, 2017 Accepting new patients

Locations

41 Arterial Plz
Ste 15B
Gloversville, NY 12078
Phone (518) 773-2300

41 Arterial Plz
Gloversville, NY 12078
Phone (518) 775-9554

309 W Montgomery St
Ste 16A
Johnstown, NY 12095
Phone (518) 619-8991

Organizations & group practices 1

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": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285157057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ARTERIAL PLZ",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120782512",
            "telephone_number": "518-775-9554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ARTERIAL PLZ",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120782512",
            "telephone_number": "518-775-9554",
            "fax_number": "518-773-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CARRIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "P06264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.