Active NPI
Richard J Johnson, PT
- Physical Therapist
- St George, UT
National Provider Identifier
1508844069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5071
- Practice address
- 1490 E Foremaster Dr
Ste 110
St George, UT 84790 - Phone
- (435) 652-4455
- Fax
- (435) 652-4472
- NPI assigned
- Jan 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5071 | UT | Primary |
Addresses
Primary practice location
1490 E Foremaster Dr
Ste 110
St George, UT 84790
Mailing address
PO Box 428
1490 E Foremaster Dr Ste 110
St George, UT 84790
Phone (435) 652-4455
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107008400102 | Other | IHC | |
| 0M0000055827 | Other | ALTIUS | |
| 311308 | Other | DMBA | |
| 87726 | Other | UHC | |
| 61582 | Other | PEHP |
Other names 1
- Rick J Johnson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5071 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1508844069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"address_2": "1490 E FOREMASTER DR STE 110",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "84790",
"telephone_number": "435-652-4455",
"fax_number": "435-652-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 E FOREMASTER DR",
"address_2": "STE 110",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "84790",
"telephone_number": "435-652-4455",
"fax_number": "435-652-4472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RICHARD",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "5071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107008400102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "0M0000055827",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "311308",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "87726",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "61582",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RICK",
"last_name": "JOHNSON",
"middle_name": "J",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.