Bryan R Johnston

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OC017658 Issued in PA

Practice address

613 Cricklewood Rd
West Chester, PA 19382-8507

Phone

(484) 266-0387

NPI assigned

Feb 23, 2022

Last updated

Feb 23, 2022By the provider in NPPES

Sex

Male

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 PA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab1 LLCGroup PAC ID 3173626272, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehab1 LLC

  • Physical Therapist
  • West Chester, PA
  • NPI 1902976855
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1386390953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 CRICKLEWOOD RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 CRICKLEWOOD RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193828507",
            "telephone_number": "484-266-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "BRYAN",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "PA",
            "license": "OC017658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Johnson
• Sarah James Johnson
• Sharese Lee Johnson
• Alicia Johnston, PT
• Andrea B Johnston, MSPT
• Daniel P. Johnston, O.D.
• Ariella Rosalie Jolly, CRNP
• Travis Jolly
• Alison Jones, M.A. CCC-SLP
• Brian Anthony Jones Sr.

• Physical Rehabilitation Occupational Therapist in West Chester, PA
• Providers in West Chester, PA by specialty
• Physical Rehabilitation Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.