Individual provider Active NPI

Mollie Johnston, PT, DPT

  • Physical Therapist
  • Minneapolis, MN
National Provider Identifier
1770186678
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13807 Issued in MN
Practice address
600 W 98TH St Ste 390
Minneapolis, MN 55420-4792
Phone
(952) 460-4900
NPI assigned
Nov 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 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 100945 IA
Physical Therapist 225100000X 13807 MN Primary

Addresses

Primary practice location

600 W 98TH St Ste 390
Minneapolis, MN 55420-4792

Mailing address

600 W 98TH St Ste 390
Minneapolis, MN 55420-4792
Phone (952) 469-4900

Other practice location 1

3400 W 66th St Ste 290
Edina, MN 55435-2133
Phone (952) 914-1965

Other practice location 2

14101 Fairview Dr Ste 300
Burnsville, MN 55337-2537
Phone (952) 944-5314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211201001353 IA Practitioner - Physical Therapist in Private Practice 3476943721 Reassigns benefits to 2 organizations
I20250422000374 MN Practitioner - Physical Therapist in Private Practice 3476943721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

600 W 98TH St
Suite 390
Bloomington, MN 55420-4792
Phone (952) 885-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13807MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince May 1, 2025 Accepting new patients
Broadlawns Medical Center CurrentSince Jun 1, 2024 Accepting new patients
Fairview Express Care CurrentSince May 1, 2025 Accepting new patients
Happy at Home Consulting Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Broadlawns Medical Center CurrentSince Jun 1, 2024 Accepting new patients
Fairview Health Services Past Accepting new patients
Millennium Rehab & Consulting, Inc. Physical Therapist PastSince Nov 1, 2020 Accepting new patients

Locations

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

3400 W 66th St
Ste 300
Edina, MN 55435
Phone (952) 345-3000

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

3400 W 66th St
Ste 290
Minneapolis, MN 55435
Phone (952) 836-3637

600 W 98th St
Ste 390
Minneapolis, MN 55420
Phone (952) 460-4900

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

Organizations & group practices 9

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": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1770186678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 98TH ST STE 390",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554204792",
            "telephone_number": "952-469-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 98TH ST STE 390",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554204792",
            "telephone_number": "952-460-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 W 66th St Ste 290",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352133",
            "country_code": "US",
            "telephone_number": "952-914-1965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14101 Fairview Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553372537",
            "country_code": "US",
            "telephone_number": "952-944-5314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MOLLIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "100945",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.