Active NPI
Juliette Johnson, DPT
- Physical Therapist
- Coeur D Alene, ID
National Provider Identifier
1295531416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1088 W Prairie Ave
Coeur D Alene, ID 83815-8741 - Phone
- (208) 772-6609
- NPI assigned
- Feb 19, 2025
- Sex
- Female
- Sole proprietor
- No
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.
-
- Physical Therapist
- Coeur D Alene, ID
- NPI 1801812482
ID, Physical Therapist
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ironwood Drive Physical Therapy PA
Practice addresses (Care Compare)
3922 E Early Dawn Ave
Post Falls, ID 83854-9006
Phone (208) 618-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250303002433 | ID | Practitioner - Physical Therapist in Private Practice | 2466973755 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ironwood Drive Physical Therapy, PA | Physical Therapist | Current | Accepting new patients |
Locations
1450 Northwest Blvd
Ste 106
Coeur D Alene, ID 83814
Phone (208) 667-6264
3922 E Early Dawn Ave
Post Falls, ID 83854
Phone (208) 618-6000
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1088 W Prairie Ave
Coeur D Alene, ID 83815-8741
Mailing address
1450 Northwest Blvd Ste 106
Coeur D Alene, ID 83814-5605
Phone (208) 667-6264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2025.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1295531416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 NORTHWEST BLVD STE 106",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838145605",
"telephone_number": "208-667-6264",
"fax_number": "208-664-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1088 W PRAIRIE AVE",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838158741",
"telephone_number": "208-772-6609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JULIETTE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.