Individual provider Active NPI

Alexander Johnston, PTA

  • Orthopedic Physical Therapist
  • Jenkintown, PA
National Provider Identifier
1780051045
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT029669 Issued in PA
Practice address
101 West Ave Ste 101
Jenkintown, PA 19046-2041
Phone
(215) 886-5520
NPI assigned
Aug 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE010652 PA
Orthopedic Physical Therapist 2251X0800X PT029669 PA Primary

Addresses

Primary practice location

101 West Ave Ste 101
Jenkintown, PA 19046-2041

Mailing address

475 Allendale Rd Ste 206
King of Prussia, PA 19406-1495
Phone (610) 270-0370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210827000769 PA Practitioner - Physical Therapist in Private Practice 1355746413 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

8015 Frankford Ave
Philadelphia, PA 19136-2736
Phone (215) 338-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TE010652PAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pursue Physical Therapy and Wellness Center, Inc. Orthopedic CurrentSince Aug 9, 2021 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Orthopedic CurrentSince Aug 9, 2021 Accepting new patients
Progress Physical Therapy LLC Orthopedic CurrentSince Jan 1, 2025 Accepting new patients
Foot & Ankle Physical Therapy, LLC Orthopedic CurrentSince Aug 9, 2021 Accepting new patients
Neurosurgical Care, LLC Past Accepting new patients

Locations

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

931 E Haverford Rd
Fl 3
Bryn Mawr, PA 19010
Phone (610) 557-0590

399 Arcola Rd
Ste 200
Collegeville, PA 19426
Phone (610) 495-3620

101 West Ave
Ste 101
Jenkintown, PA 19046
Phone (215) 886-5520

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EACEAA

Organizations & group practices 5

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": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1780051045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ALLENDALE RD STE 206",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061495",
            "telephone_number": "610-270-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEST AVE STE 101",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462041",
            "telephone_number": "215-886-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE010652",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT029669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenkintown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.