Individual provider Active NPI

Paul Johnson, PT, DPT

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1740972405
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP022082T Issued in CO
Practice address
10027 W Remington Ave
Littleton, CO 80127-6421
Phone
(720) 922-7553
NPI assigned
May 22, 2023
Last updated
Feb 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240604001320 AK Practitioner - Physical Therapist in Private Practice 5395287544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP022082TCOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Performance Center LLC Physical Therapist CurrentSince May 4, 2025 Accepting new patients
Willow Physical Therapy, Limited CurrentSince Sep 3, 2024 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.

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.

Verify at the official NPI Registry.