Individual provider Active NPI

Garrett Johnson, PT

  • Physical Therapist
  • Maricopa, AZ
National Provider Identifier
1396197067
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12323 Issued in AZ
Practice address
21300 N John Wayne Pkwy
Suite 107
Maricopa, AZ 85139-8979
Phone
(520) 868-6100
Fax
(520) 868-6106
NPI assigned
Jul 6, 2016
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12323 AZ Primary

Addresses

Primary practice location

21300 N John Wayne Pkwy
Suite 107
Maricopa, AZ 85139-8979

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727001018 AZ Practitioner - Physical Therapist in Private Practice 3577856665 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1675 E Melrose St
Suite 101 103
Gilbert, AZ 85297-1001
Phone (602) 631-3161

8607 E Pecos Rd
Suite 101
Mesa, AZ 85212-6572
Phone (520) 702-5625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12323AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Chandler, PC Physical Therapist CurrentSince Jan 29, 2018 Accepting new patients
Garrett Johnson LLC Current Accepting new patients
Affinity Physical Therapy LLC CurrentSince Jul 5, 2016 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2020 Accepting new patients
Orthopedic Specialists of North America PLLC CurrentSince Dec 3, 2022 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
Orthopedic Specialists of North America, PLLC CurrentSince Dec 3, 2022 Accepting new patients

Locations

1257 W Warner Rd
Ste A2
Chandler, AZ 85224
Phone (480) 821-2286

525 S Chandler Village Dr
Chandler, AZ 85226
Phone (480) 750-0303

1491 N Arizona Blvd
Ste 109
Coolidge, AZ 85128
Phone (520) 424-2222

1675 E Melrose St
Ste 101103
Gilbert, AZ 85297
Phone (602) 631-3161

1675 E Melrose St
Unit 101
Gilbert, AZ 85297

2940 E Banner Gateway Dr
Ste 200
Gilbert, AZ 85234

6116 E Arbor Ave
Ste 118
Mesa, AZ 85206
Phone (480) 924-1552

6824 E Brown Rd
Ste 102
Mesa, AZ 85207
Phone (480) 924-5514

14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

Organizations & group practices 7

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1396197067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PKWY",
            "address_2": "SUITE 107",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398979",
            "telephone_number": "520-868-6100",
            "fax_number": "520-868-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GARRETT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "12323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.