Individual provider Active NPI

Amanda Dawn Johnson, DPT

  • Physical Medicine & Rehabilitation Physician
  • Great Falls, MT
National Provider Identifier
1477814143
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0016648 Issued in CO
Practice address
1324 4TH Ave N
Great Falls, MT 59401-1416
Phone
(406) 868-0638
NPI assigned
May 30, 2012
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X CP060308T GA
Physical Medicine & Rehabilitation Physician 208100000X 0016648 CO Primary
Physical Medicine & Rehabilitation Physician 208100000X CP060307T NC
Physical Medicine & Rehabilitation Physician 208100000X CP059720T MT

Addresses

Primary practice location

1324 4TH Ave N
Great Falls, MT 59401-1416

Mailing address

1324 4TH Ave N Ste a
Great Falls, MT 59401-1416
Phone (406) 868-0638

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

State licenses

LicenseStateTypeSpecialty
CP060308TGAMDPhysical Medicine & Rehabilitation Physician
CP059720TMTMDPhysical Medicine & Rehabilitation Physician
CP060307TNCMDPhysical Medicine & Rehabilitation Physician
0016648COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Radiology Associates PLLC PastSince Aug 11, 2015 Accepting new patients
Inland Communication & Rehab Associates Past Accepting new patients
Apex Physical Therapy PLLC Physical Therapist PastSince Mar 1, 1999 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1477814143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 4TH AVE N STE A",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594011416",
            "telephone_number": "406-868-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 4TH AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594011416",
            "telephone_number": "406-868-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "CP060308T",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "0016648",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "CP060307T",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MT",
            "license": "CP059720T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.