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

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT028972PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist Current
since Oct 2, 2020
Accepting new patients
Procare Physical Therapy Inc Physical Therapist Past
since Oct 2, 2020
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 16, 2022.

{
    "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

All providers in Montrose, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.