Individual provider Active NPI

Lauren Michele Johnston, PT, DPT

  • Orthopedic Physical Therapist
  • Melville, NY
National Provider Identifier
1780290049
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
046159-01 Issued in NY
Practice address
1800 Walt Whitman Rd
Melville, NY 11747-3099
Phone
(631) 694-0005
Fax
(631) 694-0007
NPI assigned
Sep 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 046159-01 NY Primary

Addresses

Primary practice location

1800 Walt Whitman Rd
Melville, NY 11747-3099

Mailing address

29 Glacier Dr
Smithtown, NY 11787-2316
Phone (631) 682-5871

Other practice location 1

9 E Main St
Oyster Bay, NY 11771-2440
Phone (516) 864-2900

Other names 1

  • Lauren Michele Rosenberg Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105000538 NY Practitioner - Physical Therapist in Private Practice 8921410770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians
Pro Sports Physical Therapy PCGroup PAC ID 9739071481, 10 clinicians

Practice addresses (Care Compare)

2555 Hempstead Tpke
Suite 1
East Meadow, NY 11554-2152
Phone (516) 735-1018

467 New York Ave
Huntington, NY 11743-3557
Phone (631) 424-1100

9 E Main St
Oyster Bay, NY 11771-2440
Phone (516) 864-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046159-01NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ny Physical Therapy & Wellness LLC Orthopedic CurrentSince May 21, 2023 Accepting new patients
RB Physical and Occupational Therapy PLLC Orthopedic CurrentSince Jul 31, 2023 Accepting new patients
One on One Physical Therapy Services PLLC Past Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

2555 Hempstead Tpke
Ste 1
East Meadow, NY 11554
Phone (516) 418-2324

820 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 216-5230

650 Wantagh Ave
Ste 2
Levittown, NY 11756
Phone (516) 520-7200

121 Broadhollow Rd
Melville, NY 11747
Phone (631) 354-5600

1800 Walt Whitman Rd
Melville, NY 11747
Phone (631) 694-0005

1800 Walt Whitman Rd
Ste 120
Melville, NY 11747
Phone (631) 267-5130

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1780290049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 GLACIER DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872316",
            "telephone_number": "631-682-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WALT WHITMAN RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473099",
            "telephone_number": "631-694-0005",
            "fax_number": "631-694-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 E Main St",
            "address_purpose": "LOCATION",
            "city": "Oyster Bay",
            "state": "NY",
            "postal_code": "117712440",
            "country_code": "US",
            "telephone_number": "516-864-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "LAUREN",
        "middle_name": "MICHELE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "046159-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "ROSENBERG",
            "middle_name": "MICHELE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.