Individual provider Active NPI

Andrew Cole Johnson, PT, DPT

  • Physical Therapist
  • Hot Springs, AR
National Provider Identifier
1801409297
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4854 Issued in AR
Practice address
1635 Higdon Ferry Rd Ste G
Hot Springs, AR 71913-6904
Phone
(501) 525-2273
Fax
(501) 525-1773
NPI assigned
Aug 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4854 AR Primary

Addresses

Primary practice location

1635 Higdon Ferry Rd Ste G
Hot Springs, AR 71913-6904

Mailing address

1635 Higdon Ferry Rd Ste G
Hot Springs, AR 71913-6904
Phone (501) 525-2273

Other practice location 1

2101 Rahling Road
Suite B
Little Rock, AR 72223
Phone (866) 808-4133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200917002552 AR Practitioner - Physical Therapist in Private Practice 2668890906 Reassigns benefits to 1 organization

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
Pain Treatment Centers of America PLLCGroup PAC ID 2769608819, 73 clinicians

Practice addresses (Care Compare)

108 N Shackeford Rd
Little Rock, AR 72211-2840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4854ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab in Motion, LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Jun 14, 2021 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Jun 14, 2021 Accepting new patients
Arkansas Complete Care Past Accepting new patients
Rehab in Motion, LLC Physical Therapist PastSince Jun 23, 2024 Accepting new patients
Arkansas Complete Care PastSince Jul 21, 2024 Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

2425 Dave Ward Dr
Ste 302
Conway, AR 72034

148 Sawtooth Oak St
Hot Springs National Park, AR 71901
Phone (501) 346-8116

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

118 Central Ave
Searcy, AR 72143
Phone (501) 305-3305

Organizations & group practices 6

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1801409297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 HIGDON FERRY RD STE G",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136904",
            "telephone_number": "501-525-2273",
            "fax_number": "501-525-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 HIGDON FERRY RD STE G",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136904",
            "telephone_number": "501-525-2273",
            "fax_number": "501-525-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Rahling Road",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72223",
            "country_code": "US",
            "telephone_number": "866-808-4133",
            "fax_number": "866-849-2728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREW",
        "middle_name": "COLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.