Active NPI
Steven C Johnston, PT
- Physical Therapist
- Portland, ME
National Provider Identifier
1427094150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT710
- Practice address
- 1601 Congress St
Portland, ME 04102-2102 - Phone
- (207) 774-5710
- Fax
- (207) 774-9524
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT710 | ME | Primary |
Addresses
Primary practice location
1601 Congress St
Portland, ME 04102-2102
Mailing address
1601 Congress St
Portland, ME 04102-2102
Phone (207) 774-5710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT710 | ME | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427094150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CONGRESS ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022102",
"telephone_number": "207-774-5710",
"fax_number": "207-774-9524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CONGRESS ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022102",
"telephone_number": "207-774-5710",
"fax_number": "207-774-9524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "STEVEN",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.