Scott Alan Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6452 Issued in CO

Practice address

1455 Main St
Ste 170
Windsor, CO 80550-5561

Phone

(970) 674-8011

Fax

(970) 674-8051

NPI assigned

Jan 16, 2007

Last updated

Mar 27, 2012By the provider in NPPES

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

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Institute of Physical Medicine & Sports Therapy Inc

  • Physical Therapist
  • Windsor, CO
  • NPI 1639155708
  Medicare reassignment NPD Authorized official
• Action Therapy

  dba Idaho Physical Therapy

  • Physical Therapist
  • Boise, ID
  • NPI 1003863457
  NPD (past)
• Action Therapy, P.C.

  dba Physical Therapy of Idaho

  • Physical Therapist
  • Meridian, ID
  • NPI 1679520191
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1619029337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 MAIN ST STE 170",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505561",
            "telephone_number": "970-674-8011",
            "fax_number": "970-674-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 MAIN ST",
            "address_2": "STE 170",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805505561",
            "telephone_number": "970-674-8011",
            "fax_number": "970-674-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Jensen, LMT
• Thomas M Jensen, RD
• Jill K. Mioduski, DDS, Ms, Professional LLC (Northern Colorado Orthodontics)
• Jill Kollar DMD Professional LLC (Precision Dental of Windsor)
• Joseph L Johnson, CP, CTPO
• Melissa Lynn Jones, FNP
• Ryan Scott Jones, DDS
• Melody Lee Jorgenson
• Judson D Valstad DMD Inc (Valstad Dental)
• Shelby L Kahl, RDH

• Physical Therapist in Windsor, CO
• Providers in Windsor, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.