Michael Ryan Johnson, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2001009687 Issued in MO

Practice address

19049 E Valley View Pkwy
Ste H
Independence, MO 64055-6999

Phone

(816) 795-8944

Fax

(816) 795-8633

NPI assigned

Nov 22, 2006

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

Enrolled in MO, KS2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northland Physical Therapy and Rehab Services IncGroup PAC ID 1850370453, 120 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.johnson.1@12752.direct.athenahealth.com

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.

• Northland Physical Therapy & Rehab Services, Inc

  • Physical Therapist
  • N Kansas City, MO
  • NPI 1740273218
  Medicare reassignment Care Compare group
• Ascentist Physicians Group, LLC

  • Otolaryngology Physician
  • Lees Summit, MO
  • NPI 1649206319

  KS

  Medicare reassignment NPD
• Boost Sports Performance, LLC

  • Physical Therapy Clinic/Center
  • Lees Summit, MO
  • NPI 1548428931
  Medicare reassignment
• Synergy Therapies LLC

  • Physical Medicine & Rehabilitation Physician
  • Independence, MO
  • NPI 1780604611

  Physical Therapist

  NPD (past)
• KC Chiro, LLC

  • Chiropractor
  • Lenexa, KS
  • NPI 1235564899
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477628535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19049 E VALLEY VIEW PKWY",
            "address_2": "STE H",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556999",
            "telephone_number": "816-795-8944",
            "fax_number": "816-795-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19049 E VALLEY VIEW PKWY",
            "address_2": "STE H",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556999",
            "telephone_number": "816-795-8944",
            "fax_number": "816-795-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2001009687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gemycah S Johnson, LMSW
• Josiah David Johnson, CRADC
• Justin Johnson, DPT
• Leigh Anne Johnson, LPC
• Meghan Kali Johnson, DC
• Sherri Lynne Johnson, FNP-C
• Stacey Ann Johnson, MHS, CCC-SLP
• Taylor Johnson, DC
• Whitney Ann Johnson
• Catherine Johnston

• Physical Therapist in Independence, MO
• Providers in Independence, MO by specialty
• Physical Therapist in Missouri

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.