Active NPI
Paul Johnson, PT, DPT
- Physical Therapist
- Littleton, CO
National Provider Identifier
1740972405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP022082T
- Practice address
- 10027 W Remington Ave
Littleton, CO 80127-6421 - Phone
- (720) 922-7553
- NPI assigned
- May 22, 2023
- Last updated
- Feb 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2582 | SD | |
| Physical Therapist | 225100000X | CP022082T | CO | Primary |
Addresses
Primary practice location
10027 W Remington Ave
Littleton, CO 80127-6421
Mailing address
10027 W Remington Ave
Littleton, CO 80127-6421
Other practice location 1
112 N Rubey Dr Unit 135
Golden, CO 80403-3214
Phone (303) 279-7703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP022082T | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Performance Center LLC | Physical Therapist | Current | Accepting new patients |
| Willow Physical Therapy, Limited | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Physical Therapist | Past | Accepting new patients |
Locations
544 4th Ave
#102
Fairbanks, AK 99701
Phone (907) 456-5990
Organizations & group practices 3
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.
-
- Orthopedic Physical Therapist
- Fairbanks, AK
- NPI 1831123165
-
- Physical Therapist
- Golden, CO
- NPI 1760270839
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Englewood, CO
- NPI 1265401897
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740182400000",
"number": "1740972405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10027 W REMINGTON AVE",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801276421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10027 W REMINGTON AVE",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801276421",
"telephone_number": "720-922-7553"
}
],
"practiceLocations": [
{
"address_1": "112 N Rubey Dr Unit 135",
"address_purpose": "LOCATION",
"city": "Golden",
"state": "CO",
"postal_code": "804033214",
"country_code": "US",
"telephone_number": "303-279-7703",
"fax_number": "303-278-1037",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "PAUL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-22",
"last_updated": "2025-02-22",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "2582",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "CP022082T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; 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.