Individual provider Active NPI

Allison Johnston, DPT

  • Physical Therapist
  • Twin Falls, ID
National Provider Identifier
1407527211
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-7672 Issued in ID
Practice address
754 N College Rd Ste D
Twin Falls, ID 83301-5822
Phone
(208) 734-5313
Fax
(208) 736-1582
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 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 PT-7672 ID Primary

Addresses

Primary practice location

754 N College Rd Ste D
Twin Falls, ID 83301-5822

Mailing address

1053 Eastland Dr
Twin Falls, ID 83301-6747
Phone (208) 736-9011

Other practice location 1

421 Washington St N
Twin Falls, ID 83301-4633
Phone (208) 735-9011

Other practice location 2

423 Idaho St Ste A
Gooding, ID 83330-1258
Phone (208) 934-9011

Other practice location 3

1053 Eastland Dr
Twin Falls, ID 83301-6747
Phone (208) 736-9011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929002493 ID Practitioner - Physical Therapist in Private Practice 4880091172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maleki Physical Therapy ServicesGroup PAC ID 5092176545, 7 clinicians

Practice addresses (Care Compare)

671 E Riverpark LN
Suite 150
Boise, ID 83706-6559
Phone (208) 912-6981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-7672IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maleki Physical Therapy Services Physical Therapist CurrentSince Apr 14, 2024 Accepting new patients

Locations

671 E Riverpark Ln
Ste 150
Boise, ID 83706
Phone (208) 912-6981

1940 S Bonito Way
Ste 170
Meridian, ID 83642
Phone (208) 912-6615

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1407527211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 EASTLAND DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016747",
            "telephone_number": "208-736-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 N COLLEGE RD STE D",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015822",
            "telephone_number": "208-734-5313",
            "fax_number": "208-736-1582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Washington St N",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833014633",
            "country_code": "US",
            "telephone_number": "208-735-9011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 Idaho St Ste A",
            "address_purpose": "LOCATION",
            "city": "Gooding",
            "state": "ID",
            "postal_code": "833301258",
            "country_code": "US",
            "telephone_number": "208-934-9011",
            "fax_number": "208-934-9014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1053 Eastland Dr",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833016747",
            "country_code": "US",
            "telephone_number": "208-736-9011",
            "fax_number": "208-934-9014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ALLISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-7672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.