Individual provider Active NPI

Eric G Johnson, RPT

  • Physical Therapist
  • Guymon, OK
National Provider Identifier
1497701643
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2352 Issued in OK
Practice address
1311 N Main St
Guymon, OK 73942-3303
Phone
(580) 338-4676
Fax
(580) 338-4686
NPI assigned
May 26, 2006
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 2352 OK Primary

Addresses

Primary practice location

1311 N Main St
Guymon, OK 73942-3303

Mailing address

1311 N Main St
Guymon, OK 73942-3303
Phone (580) 338-4676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040128001138 OK Practitioner - Physical Therapist in Private Practice 4486557386 Reassigns benefits to 1 organization
I20260408003299 TX Practitioner - Physical Therapist in Private Practice 4486557386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stratford Hospital DistrictGroup PAC ID 0648172171, 3 clinicians

Practice addresses (Care Compare)

1111 Beaver Rd
Stratford, TX 79084-1189
Phone (806) 396-5568

1311 N Main St
Guymon, OK 73942-3303
Phone (580) 338-4676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2352OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Therapy Groups of Texas County, L.L.C Physical Therapist CurrentSince Jul 1, 2006 Accepting new patients

Locations

1301 N Main St
Guymon, OK 73942
Phone (580) 338-4676

1311 N Main St
Guymon, OK 73942
Phone (580) 338-4676

Organizations & group practices 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1497701643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N MAIN ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739423303",
            "telephone_number": "580-338-4676",
            "fax_number": "580-338-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N MAIN ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739423303",
            "telephone_number": "580-338-4676",
            "fax_number": "580-338-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-02-12",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guymon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.