Active NPI
Christopher Johnson, DPT
- Physical Therapist
- Browns Summit, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P14517
- Practice address
- 4215 Yanceyville Rd
Apt C
Browns Summit, NC 27214-9040 - Phone
- (716) 550-0638
- NPI assigned
- Jul 26, 2014
- Last updated
- Sep 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P14517 | NC | Primary |
Addresses
Primary practice location
4215 Yanceyville Rd
Apt C
Browns Summit, NC 27214-9040
Mailing address
8086 Chilcutt Dr
Browns Summit, NC 27214-9814
Phone (716) 550-0638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broad River Rehabilitation | Physical Therapist | Current | Accepting new patients |
| Pinehurst Surgical Clinic PA | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Blumenthal Health and Rehabilitation Center | Skilled nursing facility | Corporate Officer | Jun 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Blumenthal Health and Rehabilitation Center
- Skilled Nursing Facility
- Greensboro, NC
- NPI 1417708652
Corporate Officer
Organizations & group practices 3
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.
-
dba Broad River Rehab
- Occupational Therapist
- Charlotte, NC
- NPI 1902317589
Physical Therapist
-
- Physical Therapy Clinic/Center
- Browns Summit, NC
- NPI 1063817781
-
- Surgery Physician
- Pinehurst, NC
- NPI 1962434324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1861800542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8086 CHILCUTT DR",
"city": "BROWNS SUMMIT",
"state": "NC",
"postal_code": "272149814",
"telephone_number": "716-550-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 YANCEYVILLE RD",
"address_2": "APT C",
"city": "BROWNS SUMMIT",
"state": "NC",
"postal_code": "272149040",
"telephone_number": "716-550-0638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHRISTOPHER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-26",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Browns Summit, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.