Individual provider Active NPI

Ashley Brooke Johnson, DPT

  • Physical Therapist
  • Wellington, KS
National Provider Identifier
1770005019
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-05796 Issued in KS
Practice address
513 E 16TH St
Wellington, KS 67152-2802
Phone
(620) 968-3134
Fax
(620) 968-3135
NPI assigned
Jul 7, 2017
Last updated
May 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 11-05796 KS Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

513 E 16TH St
Wellington, KS 67152-2802

Mailing address

200 W Douglas Ave Ste 250
Wichita, KS 67202-3002
Phone (316) 263-0003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171201000443 KS Practitioner - Physical Therapist in Private Practice 3072870971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced PT LLCGroup PAC ID 3678524709, 84 clinicians

Practice addresses (Care Compare)

1309 E 19TH Ave
Advanced PT Winfield
Winfield, KS 67156-5201
Phone (620) 229-2264

2524 N Summit St
Advanced PT Arkansas City
Arkansas City, KS 67005-8808
Phone (620) 442-0255

3730 N Ridge Rd
Suite 500
Wichita, KS 67205-1233
Phone (316) 440-4901

513 E 16TH St
Advanced PT Wellington
Wellington, KS 67152-2802
Phone (620) 968-3134

Merit-based Incentive Payment System (MIPS)

Final score
74.5 of 100Reported as individual
Quality
70
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-05796KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT LLC Physical Therapist Current Accepting new patients
Advanced PT, LLC Physical Therapist CurrentSince May 17, 2022 Accepting new patients
Advanced PT, LLC PastSince Aug 5, 2017 Accepting new patients

Locations

513 E 16th St
Wellington, KS 67152
Phone (620) 968-3134

200 W Douglas Ave
Ste 1040
Wichita, KS 67202
Phone (866) 412-5554

3460 N Ridge Rd
Ste 80
Wichita, KS 67205
Phone (316) 202-0340

3730 N Ridge Rd
Ste 500
Wichita, KS 67205
Phone (316) 440-4901

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1770005019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 250",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023002",
            "telephone_number": "316-263-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E 16TH ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522802",
            "telephone_number": "620-968-3134",
            "fax_number": "620-968-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ASHLEY",
        "middle_name": "BROOKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05796",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.