Active NPI
Nathan Richard Johnson, BS, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1447443908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 70015225
- Practice address
- 2118 W Race Ave
Chicago, IL 60612-1510 - Phone
- (312) 479-1103
- NPI assigned
- Aug 19, 2007
- Last updated
- Jun 18, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 70015225 | IL | Primary |
| Physical Therapist | 225100000X | 2460 | NE |
Addresses
Primary practice location
2118 W Race Ave
Chicago, IL 60612-1510
Mailing address
2118 W Race Ave
Chicago, IL 60612-1510
Phone (312) 479-1103
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2460 | NE | MD | Mental Health Counselor |
| 70015225 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HRS Home Health of Indiana LLC | Current | Accepting new patients | |
| HRS Home Health of Michigan LLC | Current | Accepting new patients | |
| HRS of Nebraska, Inc. | Current | Accepting new patients | |
| Therapy Solutions Inc. | Physical Therapist | Past | Accepting new patients |
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.
-
dba AccentCare Home Health of Indiana
- Home Health Agency
- Crown Point, IN
- NPI 1114474707
-
dba AccentCare Home Health of Michigan
- Home Health Agency
- Madison Heights, MI
- NPI 1497370951
-
dba AccentCare Home Health of Nebraska
- Home Health Agency
- Omaha, NE
- NPI 1770004418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1447443908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2118 W RACE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606121510",
"telephone_number": "312-479-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2118 W RACE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606121510",
"telephone_number": "312-479-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "NATHAN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "BS, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-19",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "70015225",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2460",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.