Active NPI
Brian Curtis Johnston, PT
- Physical Therapist
- Joint Base Lewis McChord, WA
National Provider Identifier
1528798915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1361087
- Practice address
- 9040A Jackson Ave
Joint Base Lewis McChord, WA 98431-4504 - Phone
- (937) 474-1328
- NPI assigned
- Jun 16, 2022
- Last updated
- Jan 8, 2024
- 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 | 1361087 | TX | Primary |
Addresses
Primary practice location
9040A Jackson Ave
Joint Base Lewis McChord, WA 98431-4504
Mailing address
1524 Bittner CT
Dupont, WA 98327-9707
Phone (937) 474-1328
Other practice location 1
3100 Schofield Rd
Fort Sam Houston, TX 78234-7577
Phone (937) 474-1328
Other practice location 2
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone (937) 474-1328
Other practice location 3
1100 Willford Hall Loop
Lackland AFB, TX 78236
Phone (937) 474-1328
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1361087 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1528798915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 BITTNER CT",
"city": "DUPONT",
"state": "WA",
"postal_code": "983279707",
"telephone_number": "937-474-1328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040A JACKSON AVE",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984314504",
"telephone_number": "937-474-1328"
}
],
"practiceLocations": [
{
"address_1": "3100 Schofield Rd",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782347577",
"country_code": "US",
"telephone_number": "937-474-1328",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3551 Roger Brooke Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "937-474-1328",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Willford Hall Loop",
"address_purpose": "LOCATION",
"city": "Lackland AFB",
"state": "TX",
"postal_code": "78236",
"country_code": "US",
"telephone_number": "937-474-1328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSTON",
"first_name": "BRIAN",
"middle_name": "CURTIS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-16",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1361087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.