Gretchen T. Johnson, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

902 Issued in NM

Practice address

435 Saint Michaels Dr
Suite a-201
Santa Fe, NM 87505-7672

Phone

(505) 982-5629

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

Yes

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 NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Works Physical Therapy LLCGroup PAC ID 7416254446, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Wellness Works Physical Therapy LLC

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1518331198
  Medicare reassignment Care Compare group NPD
• Active Recovery, LLC

  • Physical Therapy Clinic/Center
  • Santa Fe, NM
  • NPI 1871774299

  Physical Therapist

  Medicare reassignment NPD
• PTP Inc

  • Orthopedic Physical Therapist
  • Los Alamos, NM
  • NPI 1578105433
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407077597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 SAN ILDEFONSO RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053344",
            "telephone_number": "505-983-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SAINT MICHAELS DR",
            "address_2": "SUITE A-201",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057672",
            "telephone_number": "505-982-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "GRETCHEN",
        "middle_name": "T.",
        "credential": "PT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Miles Johnson, M.D.
• Craig H Johnson, MD
• Denise Johnson
• Derek B Johnson, M.D.
• Frank Pierr Johnson, M.D.
• Hannah Rachel Johnson, LMSW
• Heather Todd Johnson, FNP
• Jennifer M Johnson, M.D.
• Jill Marguerite Johnson
• Joseph N Johnson, MD

• Physical Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.