Nicholas Johnston, DPT, PT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-31312 Issued in AZ

Practice address

4550 N Black Canyon Hwy
Phoenix, AZ 85017-3714

Phone

(602) 995-2643

NPI assigned

Jun 30, 2020

Last updated

Jun 30, 2020By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Happy Home Care

  dba Happy Home Care Health Services

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1295259281
  NPD
• Mana Health & Wellness Inc

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1043903875
  NPD

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1821615303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 E DARROW ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426065",
            "telephone_number": "530-410-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 N BLACK CANYON HWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173714",
            "telephone_number": "602-995-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "NICHOLAS",
        "credential": "DPT, PT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Johnston, LPN
• Kristin Kay Johnston, LPC
• Linda Johnston, P.T., D.P.T.
• Molly Mae Johnston, RN
• Monica Joy Johnston, DPT
• Rebecca Johnston
• Roy Alan Johnston, L.I.S.A.C
• Sharon Rae Johnston, MD
• Stephanie Johnston, NP
• Victoria Johnston

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.