Active NPI
Brett Charles Johnson, MSPT
- Physical Therapist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00008155
- Practice address
- 14403 NE Fourth Plain Blvd Ste 140
Vancouver, WA 98682-5001 - Phone
- (360) 947-3147
- Fax
- (360) 564-7023
- NPI assigned
- Jul 25, 2006
- Last updated
- Sep 22, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3450 | ID | |
| Physical Therapist | 225100000X | PT00008155 | WA | Primary |
Addresses
Primary practice location
14403 NE Fourth Plain Blvd Ste 140
Vancouver, WA 98682-5001
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206
Other practice location 1
1132 E Polston Ave
Post Falls, ID 83854-6045
Phone (208) 777-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134149941 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID, OR
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14403 NE 4TH Plain Blvd
Suite 140
Vancouver, WA 98682-5001
Phone (360) 947-3147
51385 SW Old Portland Rd
Scappoose, OR 97056-4061
Phone (503) 543-7768
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3450 | ID | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Sandpoint Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Past | Accepting new patients | |
| Proliance Surgeons Inc P S | Past | Accepting new patients | |
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Past | Accepting new patients |
| Tucson Orthopaedic Institute Professional Corporation | Physical Therapist | Past | Accepting new patients |
| Maximum Impact Physical Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
| Bodycentral Physical Therapy P C | Past | Accepting new patients | |
| Bodycentral Physical Therapy PC | Past | Accepting new patients |
Locations
1301 N Division Ave
Sandpoint, ID 83864
Phone (208) 263-1345
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768
1188 106th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 454-4864
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
17800 Talbot Rd S
Ste D
Renton, WA 98055
Phone (425) 277-9096
14403 NE Fourth Plain Blvd
#140
Vancouver, WA 98682
Phone (360) 947-3147
Organizations & group practices 11
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.
-
dba ATI Physical Therapy
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
-
- Physical Therapist
- Sandpoint, ID
- NPI 1558828020
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
dba Cascade Rehabilitation
- Occupational Therapist
- Everett, WA
- NPI 1245361617
Physical Therapist
-
dba Proliance Hand, Wrist and Elbow Physicians
- Orthopaedic Hand Surgery Physician
- Kirkland, WA
- NPI 1134165897
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Physical Therapy Clinic/Center
- Tucson, AZ
- NPI 1629057930
-
- Customized Equipment (DME)
- Tucson, AZ
- NPI 1780899369
-
- Physical Therapist
- Tucson, AZ
- NPI 1538183975
-
dba Tucson Orthopaedic Institute, PC
- Orthopaedic Surgery Physician
- Tucson, AZ
- NPI 1437193265
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1578586178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14403 NE FOURTH PLAIN BLVD STE 140",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986825001",
"telephone_number": "360-947-3147",
"fax_number": "360-564-7023"
}
],
"practiceLocations": [
{
"address_1": "1132 E Polston Ave",
"address_purpose": "LOCATION",
"city": "Post Falls",
"state": "ID",
"postal_code": "838546045",
"country_code": "US",
"telephone_number": "208-777-7800",
"fax_number": "208-777-9209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRETT",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "3450",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00008155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134149941",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.