Obadiah Luke Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2922 Issued in NE

Practice address

244 N Minden Ave
Minden, NE 68959-1643

Phone

(308) 832-1500

Fax

(308) 832-1551

NPI assigned

May 23, 2013

Last updated

Jun 3, 2022By 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 NE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Creighton University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Physical Therapy and Sports CenterGroup PAC ID 7214970177, 36 clinicians

Empowerme Asl LLCGroup PAC ID 3476969387, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Empowerme Asl, LLC

  dba EmpowerMe Rehabilitation

  • Multi-Specialty Clinic/Center
  • La Vista, NE
  • NPI 1205425063

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Family Physical Therapy & Sports Center

  • Physical Therapist
  • Kearney, NE
  • NPI 1356373658
  Medicare reassignment Care Compare group NPD
• Empowerme Asl, LLC

  • Rehabilitation Clinic/Center
  • Grand Island, NE
  • NPI 1447944657
  NPD
• Family Physical Therapy & Sports Center

  dba Family Physical Therapy & Chiropractic Services

  • Chiropractor
  • Kearney, NE
  • NPI 1326551532
  NPD
• Family Physical Therapy & Sports Center

  • Physical Therapist
  • Ravenna, NE
  • NPI 1942417852
  NPD (past)

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1679910103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 N MINDEN AVE",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591643",
            "telephone_number": "308-832-1500",
            "fax_number": "308-832-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N MINDEN AVE",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591643",
            "telephone_number": "308-832-1500",
            "fax_number": "308-832-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "OBADIAH",
        "middle_name": "LUKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Hall-Warburton
• Jody Ann Hudson
• Innovative Pharmacists Inc (L T Pedley Drug)
• Chad Isaacson, OTR/L
• Diane Kae Jackson, A.P.R.N.
• Kearney Co Health Services (Minden Medical Clinic)
• Kearney Co Health Services (Minden Medical Clinic BCBS PCMH)
• Kearney Co Health Services (Kearney County Health Services)
• Kearney Co Health Services (Kearney County Health Services)
• Amy Marie Kingston

• Physical Therapist in Minden, NE
• Providers in Minden, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.