Brent Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9690 Issued in MN

Practice address

1260 State Hwy 25
Monticello, MN 55362-8447

Phone

(763) 260-5401

NPI assigned

Aug 22, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Big Lake Spine & Sport, PA

  • Chiropractor
  • Monticello, MN
  • NPI 1295747889
  NPD (past)
• Fairview Health Services

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  NPD (past)
• Integrated Care Clinics, PA

  • Physical Therapist
  • Monticello, MN
  • NPI 1396775110
  NPD (past)

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1558760835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 STATE HIGHWAY 25",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628447",
            "telephone_number": "763-260-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 STATE HWY 25",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628447",
            "telephone_number": "763-260-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRENT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan M Jagodzinski, PA-C
• Geraldine Sorelly Jaramillo
• JD Outdoor Services LLC
• Julia Jean Jerome
• Jenifer Elizabeth John, MA LMFT LICSW
• Eric Michael Johnson
• Janene Johnson, OTR/L
• Jonas Johnson, DC
• Lance Johnson, LPCC
• Susan L Johnson, MD

• Physical Therapist in Monticello, MN
• Providers in Monticello, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.