Craig Dennis Johnson, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1974 Issued in MN

Practice address

730 Apollo Dr
Suite 120
Lino Lakes, MN 55014-3037

Phone

(651) 784-7866

Fax

(651) 784-7870

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Premier Physical Therapy Centers, Inc.

  • Physical Therapist
  • Coon Rapids, MN
  • NPI 1952471336
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1811996754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7581 9TH ST N",
            "address_2": "SUITE 100",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286626",
            "telephone_number": "651-748-4338",
            "fax_number": "651-748-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 APOLLO DR",
            "address_2": "SUITE 120",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550143037",
            "telephone_number": "651-784-7866",
            "fax_number": "651-784-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CRAIG",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "1974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaelyn Layell Isaacson
• Aaron B Jennissen, PHARMD
• Jennifer Mae Jensen, CCC-SLP
• Carol Elaine Jillian-Ohana, DC
• Alicia Clarice Johnson
• Sarah Elizabeth Johnson, OTR/L
• Kellie Kershisnik, MD
• Key Medical Supply, Inc.
• Sharon Lorraine King, RN
• Kaylee Jean Koski, DDS

• Physical Therapist in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.