Chase Ethan Johnson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1304538 Issued in TX

Practice address

1301 Summer Lee Dr
Rockwall, TX 75032-5452

Phone

(214) 771-4400

NPI assigned

May 22, 2018

Sex

Male

Sole proprietor

Yes

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 TX

Enrollment records 1

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 and National Provider Directory roles.

• Greater Lewisville Therapy Center Inc

  • Physical Therapist
  • Lewisville, TX
  • NPI 1508938218
  Medicare reassignment NPD
• Hunt Memorial Hospital District

  • General Acute Care Hospital
  • Greenville, TX
  • NPI 1598750721
  Medicare reassignment NPD
• Greater Lewisville Therapy Center Inc

  • Physical Therapist
  • Mesquite, TX
  • NPI 1639884075
  NPD
• Hunt Memorial Hospital District

  • Skilled Nursing Facility
  • Royse City, TX
  • NPI 1750833901
  NPD

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1639660939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 HIGHGATE RD",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263825",
            "telephone_number": "214-799-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SUMMER LEE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325452",
            "telephone_number": "214-771-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHASE",
        "middle_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1304538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni James Regalado Jimenez
• Luke Jimenez
• Kelly Dianne Jobe, AU.D.
• Julie Podiyamma John
• Ashanti Johnson
• Courtney Sue Johnson, FNP-C
• Destini Teshawn Johnson
• Emma Rae Johnson
• Kendra Wynette Johnson
• Kurt Johnson

• Physical Therapist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.