Christopher Jacob Johnson, PT, DPT
Individual provider Active NPI Physical Therapist · Oakland, NE
NPI 1679722334 · NPPES record last updated Aug 15, 2013
Key facts
- NPI
- 1679722334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3060 (NE)
- Practice address
- 312 N Oakland Ave
Oakland, NE 68045-1196 - Phone
- (402) 380-1479
- NPI assigned
- Sep 17, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wolken Therapy and Wellness LLC
Practice addresses (Care Compare)
312 N Oakland Ave
Oakland, NE 68045-1196
Phone (402) 685-4499
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120709000667 | NE | Practitioner - Physical Therapist in Private Practice | 0042361453 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3060 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wolken Therapy & Wellness LLC | Physical Therapist | Current |
Accepting new patients |
| Allergy, Asthma & Immunology Associates P.C. | Past | Accepting new patients | |
| Lago Vista Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
312 N Oakland Ave
Oakland, NE 68045
Phone (402) 380-1479
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3060 | NE | Yes |
Addresses
Primary practice location
312 N Oakland Ave
Oakland, NE 68045-1196
Mailing address
PO Box 101
Oakland, NE 68045-0101
Phone (402) 380-1479
Other providers in Oakland, NE
- Franciscan Care Services Inc
- Franciscan Care Services Inc
- Kaisha Hilgenkamp
- Linda A Hunter
- Johnson Rehabilitation and Sports Performance
- Lisa M Johnson
- Tiffany Johnson
- Dori Marrx
- Tracie A Martin
- Alan Monson
All providers in Oakland, NE · Physical Therapist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.