Individual provider Active NPI

Taylor Clinton Johnson Jr., MPT

  • Physical Therapist
  • The Woodlands, TX
National Provider Identifier
1740447341
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1115871 Issued in TX
Practice address
6701 Lake Woodlands Drive
Suite 101
The Woodlands, TX 77382
Phone
(281) 419-3100
Fax
(281) 419-3101
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1115871 TX Primary

Addresses

Primary practice location

6701 Lake Woodlands Drive
Suite 101
The Woodlands, TX 77382

Mailing address

6701 Lake Woodlands Drive
Suite 101
The Woodlands, TX 77382
Phone (281) 419-3100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140703001241 TX Practitioner - Physical Therapist in Private Practice 8921105925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Ridge Orthopaedics and Sports Medicine LLCGroup PAC ID 8325089055, 43 clinicians

Practice addresses (Care Compare)

6767 Lake Woodlands Dr
Suite F
The Woodlands, TX 77382-2566
Phone (281) 364-1122

Merit-based Incentive Payment System (MIPS)

Final score
81.05 of 100Reported as group
Quality
67.43
Promoting interoperability
100
Improvement activities
40
Cost
69.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1115871TXMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: clint.johnson.1@1066.direct.athenahealth.com

Organizations & group practices 1

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1740447341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 LAKE WOODLANDS DRIVE",
            "address_2": "SUITE 101",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77382",
            "telephone_number": "281-419-3100",
            "fax_number": "281-419-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 LAKE WOODLANDS DRIVE",
            "address_2": "SUITE 101",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77382",
            "telephone_number": "281-419-3100",
            "fax_number": "281-419-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAYLOR",
        "middle_name": "CLINTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1115871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.