Individual provider Active NPI

Emmanuel Juwon Johnson

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1407698061
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9725 3Rd Ave NE Ste 100
Seattle, WA 98115-2049
Phone
(206) 706-7500
NPI assigned
Jun 12, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 Primary

Addresses

Primary practice location

9725 3Rd Ave NE Ste 100
Seattle, WA 98115-2049

Mailing address

8319 E Gilman Ave
Arlington, WA 98223-1120
Phone (904) 728-0306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241010002266 WA Practitioner - Physical Therapist in Private Practice 8921530387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7728 204TH St NE
Unit a
Arlington, WA 98223-2500
Phone (360) 403-8250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Systems Physical Therapy, P.S. Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist Current Accepting new patients
Integrated Rehabilitation Group, PC CurrentSince Mar 10, 2025 Accepting new patients

Locations

7728 204th St NE
Unit A
Arlington, WA 98223
Phone (360) 403-8250

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

8435 SE 68th St
Ste 100
Mercer Island, WA 98040
Phone (206) 405-1864

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

9725 3rd Ave NE
Ste 100
Seattle, WA 98115
Phone (206) 363-6184

1200 Westlake Ave N
Ste 100
Seattle, WA 98109
Phone (206) 405-1864

201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066

Organizations & group practices 4

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": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1407698061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8319 E GILMAN AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231120",
            "telephone_number": "904-728-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 3RD AVE NE STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152049",
            "telephone_number": "206-706-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EMMANUEL",
        "middle_name": "JUWON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.