Evan Johnston, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

014228-01 Issued in NY

Practice address

531 Virginia St
Buffalo, NY 14202-1450

Phone

(716) 332-4838

NPI assigned

Apr 30, 2024

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sportsfocus Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Buffalo, NY
  • NPI 1811041213
  NPD
• T&M Physical Therapy PLLC Dba Lake Erie Physical Therapy

  dba SportsFocus

  • Physical Therapist
  • Buffalo, NY
  • NPI 1225754708
  NPD

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1417704354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 VIRGINIA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021450",
            "telephone_number": "716-332-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 VIRGINIA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021450",
            "telephone_number": "716-332-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "EVAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "014228-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Johnson, LPN
• Tracye Maria Johnson, MSED
• Tregg Johnson
• Vincentia Johnson, LPN
• Deborah Johnston, LCSW-R
• Jennifer L Johnston
• Wendy Johnston, RN
• Joint Replacement Cin of Buffalo LLC
• Elaine Jonas
• Curlane M Jones-Brown

• Physical Therapy Assistant in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.