Individual provider Active NPI

Drew Marie Johnson, PT, DPT

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1376235093
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP022158T Issued in CO
Practice address
11 W Dry Creek CT
Littleton, CO 80120-4484
Phone
(303) 795-0428
NPI assigned
May 22, 2023
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2456 SD
Physical Therapist 225100000X CP022158T CO Primary

Addresses

Primary practice location

11 W Dry Creek CT
Littleton, CO 80120-4484

Mailing address

11 W Dry Creek Cir # 80120
Littleton, CO 80120-8077

Other practice location 1

37200 N Gantzel Rd Ste 260
San Tan Valley, AZ 85140-7387
Phone (480) 690-8080

Other practice location 2

11 W Dry Creek Ct
Littleton, CO 80120-4484
Phone (303) 795-0428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230824000789 AZ Practitioner - Physical Therapist in Private Practice 8729440771 Reassigns benefits to 1 organization
I20240603004180 AK Practitioner - Physical Therapist in Private Practice 8729440771 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2456SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Jun 12, 2023 Accepting new patients
BHSM Rehabilitation, LLC Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients
Advanced Physical Therapy Inc Physical Therapist CurrentSince May 28, 2024 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266

1275 Sadler Way
Ste 201
Fairbanks, AK 99701
Phone (907) 374-0992

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

37200 N Gantzel Rd
Ste 260
San Tan Valley, AZ 85140
Phone (480) 677-3294

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1376235093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W DRY CREEK CIR # 80120",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801208077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W DRY CREEK CT",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204484",
            "telephone_number": "303-795-0428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37200 N Gantzel Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407387",
            "country_code": "US",
            "telephone_number": "480-690-8080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 W Dry Creek Ct",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801204484",
            "country_code": "US",
            "telephone_number": "303-795-0428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DREW",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2456",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP022158T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.