Andrea C Johnson, MS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1171 Issued in MT

Practice address

900 2ND St. S. Suite 2
Great Falls, MT 59405-4406

Phone

(406) 770-3171

Fax

(406) 770-3173

NPI assigned

Jul 3, 2009

Sex

Female

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 MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Sanford School of Medicine of University of South Dakota, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Practice Physical TherapyGroup PAC ID 5294905279, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Advanced Practice Physical Therapy

  • Physical Therapy Clinic/Center
  • Great Falls, MT
  • NPI 1720375595

  MT, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Northern Lights Physical Therapy and Wellness Inc

  • Physical Therapist
  • Great Falls, MT
  • NPI 1790306892
  NPD Authorized official

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1306075965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 2ND ST. S. SUITE 2",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054406",
            "telephone_number": "406-770-3171",
            "fax_number": "406-770-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 2ND ST. S. SUITE 2",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054406",
            "telephone_number": "406-770-3171",
            "fax_number": "406-770-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREA",
        "middle_name": "C",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-03",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Molloy MD PLLC
• Lesley Johnsen, DAC, LAC, MA
• Riki Marie Johnson-Lackey, LCPC
• Alyse Johnson
• Amanda Dawn Johnson, DPT
• Christopher David Johnson, MD
• Colleen Johnson, RPH
• David Wayne Johnson, D.D.S.
• Donna Lynn Johnson, LCPC
• Jeffrey A Johnson, P.T.

• All providers in Great Falls, MT
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.