Individual provider Active NPI

Charissa L Johnson, DPT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1477798635
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2712 Issued in NE
Practice address
6101 S 56 St
#1
Lincoln, NE 68516
Phone
(402) 420-0800
Fax
(402) 420-0801
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2712 NE Primary

Addresses

Primary practice location

6101 S 56 St
#1
Lincoln, NE 68516

Mailing address

6101 S 56 St
#1 Crossroads Physical Therapy
Lincoln, NE 68516
Phone (402) 420-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081212000647 NE Practitioner - Physical Therapist in Private Practice 9638230394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Physical Therapy PCGroup PAC ID 1759377542, 10 clinicians

Practice addresses (Care Compare)

6101 S 56 St
Lincoln, NE 68516-3392
Phone (402) 420-0800

Merit-based Incentive Payment System (MIPS)

Final score
84.43 of 100Reported as group
Quality
75.62
Improvement activities
40
Cost
80.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2712NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Physical Therapy PC CurrentSince Oct 3, 2008 Accepting new patients

Locations

6101 S 56th St
Ste 1
Lincoln, NE 68516
Phone (402) 420-0800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1477798635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 S 56 ST",
            "address_2": "#1 CROSSROADS PHYSICAL THERAPY",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68516",
            "telephone_number": "402-420-0800",
            "fax_number": "402-420-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 S 56 ST",
            "address_2": "#1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68516",
            "telephone_number": "402-420-0800",
            "fax_number": "402-420-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHARISSA",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.