Heather Johnson, P.T.
Individual provider Active NPI Physical Therapist · Soldotna, AK
NPI 1346466489 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1346466489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1183 (AK)
- Practice address
- 35249 Kenai Spur Hwy Ste C
Soldotna, AK 99669-7673 - Phone
- (907) 420-0836
- Fax
- (907) 420-0837
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Revolution Sport and Spine Therapy LLC
Practice addresses (Care Compare)
35249 Kenai Spur Hwy
Suite C
Soldotna, AK 99669-7673
Phone (907) 420-0836
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110502000308 | TX | Practitioner - Physical Therapist in Private Practice | 2365627643 | Reassigns benefits to 1 organization |
| I20170727001872 | AK | Practitioner - Physical Therapist in Private Practice | 2365627643 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1183 | AK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Borealis Chiropractic Inc | Current |
Accepting new patients | |
| Bristol Bay Area Health Corporation | Current |
Accepting new patients | |
| Revolution Sport & Spine Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Bristol Bay Area Health Corporation | Current |
Accepting new patients |
Locations
35249 Kenai Spur Hwy
Ste C
Soldotna, AK 99669
Phone (907) 420-0836
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1183 | AK | Yes |
Addresses
Primary practice location
35249 Kenai Spur Hwy Ste C
Soldotna, AK 99669-7673
Mailing address
PO Box 1051
Sterling, AK 99672-1051
Phone (907) 545-7470
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT1183 | Medicaid | AK |
Other providers in Soldotna, AK
- John Nels Anderson MD
- John Nels Anderson, M.D.
- Bruce David Johnson
- Carol Johnson
- Carol A Johnson
- Julie L Johnson
- Sandra Deniece Johnson
- Tara Johnson
- Stephen G Jolley
- Cory Deon Jones
All providers in Soldotna, AK · Physical Therapist in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. 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.