Christopher Steven Johnson, DPT
Individual provider Active NPI Physical Therapist · Fernley, NV
NPI 1295963874 · NPPES record last updated Feb 17, 2012
Key facts
- NPI
- 1295963874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-2536 (ID)
- Practice address
- 415 Hwy 95a South
Suite C302
Fernley, NV 89408 - Phone
- (775) 575-1818
- Fax
- (775) 575-1808
- NPI assigned
- Jun 23, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physical Therapy Partners Nevada LLC
Practice addresses (Care Compare)
415 US Hwy 95a S
Suite C302
Fernley, NV 89408-9288
Phone (775) 853-7475
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120523000098 | NV | Practitioner - Physical Therapist in Private Practice | 4789739996 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-2536 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Partners Nevada LLC | Physical Therapist | Current |
Accepting new patients |
| Rehabauthority, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
415 US Highway 95A S
Ste 302
Fernley, NV 89408
Phone (775) 853-5839
415 US Highway 95A S
Ste C302
Fernley, NV 89408
Phone (775) 575-1818
8725 Technology Way
Ste C2
Reno, NV 89521
Phone (775) 853-7475
10775 Double R Blvd
#100
Reno, NV 89521
Phone (775) 853-7475
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2536 | ID | Yes |
Addresses
Primary practice location
415 Hwy 95a South
Suite C302
Fernley, NV 89408
Mailing address
415 Hwy 95a South
Suite C302
Fernley, NV 89408
Phone (775) 575-1818
Other providers in Fernley, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.