Individual provider Active NPI

Michael Johnson, D.P.T.

  • Orthopedic Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1821493628
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
12916 Issued in CO
Practice address
115 E Harmony Rd
Ste. 160
Fort Collins, CO 80525-3280
Phone
(970) 221-1201
NPI assigned
Oct 23, 2014
Last updated
Jul 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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 12961 CO
Orthopedic Physical Therapist 2251X0800X 12916 CO Primary

Addresses

Primary practice location

115 E Harmony Rd
Ste. 160
Fort Collins, CO 80525-3280

Mailing address

115 E Harmony Rd
Ste. 160
Fort Collins, CO 80525-3280
Phone (970) 221-1201

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160328001526 CO Practitioner - Physical Therapist in Private Practice 1456658996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado in Motion LLCGroup PAC ID 9931515483, 41 clinicians

Practice addresses (Care Compare)

115 E Harmony Rd
Suite 160
Fort Collins, CO 80521-3280
Phone (970) 221-1201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12961COMDPhysical Therapist
12916COMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado in Motion LLC Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients
Colorado in Motion LLC Physical Therapist CurrentSince Apr 20, 2021 Accepting new patients

Locations

115 E Harmony Rd
Ste 160
Fort Collins, CO 80525
Phone (304) 917-3671

210 W Magnolia St
Ste 110
Fort Collins, CO 80521

1901 56th Ave
Ste 100
Greeley, CO 80634
Phone (970) 451-5776

1555 Main St
Unit A4
Windsor, CO 80550
Phone (970) 674-9675

Organizations & group practices 2

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": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1821493628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E HARMONY RD",
            "address_2": "STE. 160",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253280",
            "telephone_number": "970-221-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E HARMONY RD",
            "address_2": "STE. 160",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253280",
            "telephone_number": "970-221-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-23",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "12961",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "12916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.