Brittany L Johnson, DPT
Individual provider Active NPI Physical Therapist · Montrose, PA
NPI 1457692014 · NPPES record last updated Sep 16, 2022
Key facts
- NPI
- 1457692014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT028972 (PA)
- Practice address
- 417 Grow Ave
Montrose, PA 18801-1105 - Phone
- (570) 278-1101
- Fax
- (570) 278-1102
- NPI assigned
- Mar 7, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT028972 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivot Physical Therapy of Pennsylvania, LLC | Physical Therapist | Current |
Accepting new patients |
| Procare Physical Therapy Inc | Physical Therapist | Past |
Accepting new patients |
| Dynamic Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
Locations
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
417 Grow Ave
Montrose, PA 18801
Phone (570) 278-1101
655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142
130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036090 | NY | |
| Physical Therapist | 225100000X | PT028972 | PA | Yes |
Addresses
Primary practice location
417 Grow Ave
Montrose, PA 18801-1105
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 373-2919
Other practice location 1
2663 Main Street
Whitney Point, NY 13862-0253
Phone (607) 692-4420
NPI Registry JSON
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1457692014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-373-2919",
"fax_number": "410-648-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 GROW AVE",
"city": "MONTROSE",
"state": "PA",
"postal_code": "188011105",
"telephone_number": "570-278-1101",
"fax_number": "570-278-1102"
}
],
"practiceLocations": [
{
"address_1": "2663 Main Street",
"address_purpose": "LOCATION",
"city": "Whitney Point",
"state": "NY",
"postal_code": "138620253",
"country_code": "US",
"telephone_number": "607-692-4420",
"fax_number": "607-692-4415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRITTANY",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-07",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "036090",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT028972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, PA
- Mary Elizabeth Hamernick
- Michael Haraschak
- Andrew James Hawley
- Joyce Hazeltine
- Jennifer Hill
- Jonathan Jorda
- Stuart Kaufman
- Heather Lynn Kesler
- Hassan Y Khalil
- John Kielbasa
All providers in Montrose, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.