Active NPI
Christopher Anthony Johnston, D.P.T.
- Physical Therapist
- O'Fallon, MO
National Provider Identifier
1396069571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2010003221
- Practice address
- 939 Highway K
O Fallon, MO 63366-2910 - Phone
- (636) 240-7000
- Fax
- (636) 240-7513
- NPI assigned
- Mar 17, 2010
- Last updated
- Jan 22, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2010003221 | MO | Primary |
Addresses
Primary practice location
939 Highway K
O Fallon, MO 63366-2910
Mailing address
777 S New Ballas Rd
Ste 218E
Saint Louis, MO 63141-8718
Phone (314) 991-2562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010003221 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P2 Enterprises, LLC | Physical Therapist | Past | Accepting new patients |
| Westside Rehab, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1326414806
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- NPI 1689768855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453420800000",
"number": "1396069571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 S NEW BALLAS RD",
"address_2": "STE 218E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418718",
"telephone_number": "314-991-2562",
"fax_number": "314-991-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "939 HIGHWAY K",
"city": "O FALLON",
"state": "MO",
"postal_code": "633662910",
"telephone_number": "636-240-7000",
"fax_number": "636-240-7513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "CHRISTOPHER",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-17",
"last_updated": "2016-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2010003221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.