Individual provider Active NPI

Rachel Claris Leeann Johnson, DPT

  • Physical Therapist
  • Bartlesville, OK
National Provider Identifier
1679149405
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6001 Issued in OK
Practice address
1223 Swan Dr
Bartlesville, OK 74006-5037
Phone
(918) 336-8500
Fax
(918) 336-8519
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Rehabilitation Medicine Physician 2081P0010X 6001 OK
Physical Therapist 225100000X 6001 OK Primary

Addresses

Primary practice location

1223 Swan Dr
Bartlesville, OK 74006-5037

Mailing address

524 Baylor CT
Bartlesville, OK 74006-9007
Phone (918) 907-1028

Other practice location 1

3838 State St
Bartlesville, OK 74006-2528
Phone (918) 218-7280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211029000493 OK Practitioner - Physical Therapist in Private Practice 8628466307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Oklahoma College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington County Elder Care IncGroup PAC ID 9830129097, 6 clinicians

Practice addresses (Care Compare)

1223 Swan Dr
Bartlesville, OK 74006-5037
Phone 9183368500115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist Current Accepting new patients
Washington County Elder Care, Inc Physical Therapist CurrentSince Jun 6, 2023 Accepting new patients
Pediatric Physical Therapy of Bartlesville PastSince Jun 1, 2021 Accepting new patients
Step by Step Therapy Inc PastSince Mar 19, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1223 Swan Dr
Bartlesville, OK 74006
Phone (918) 214-8081

2560 E Kenosha St
Broken Arrow, OK 74014
Phone (918) 994-7864

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1679149405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 BAYLOR CT",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740069007",
            "telephone_number": "918-907-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 SWAN DR",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740065037",
            "telephone_number": "918-336-8500",
            "fax_number": "918-336-8519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3838 State St",
            "address_purpose": "LOCATION",
            "city": "Bartlesville",
            "state": "OK",
            "postal_code": "740062528",
            "country_code": "US",
            "telephone_number": "918-218-7280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RACHEL",
        "middle_name": "CLARIS LEEANN",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "OK",
            "license": "6001",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.