Individual provider Active NPI

Christopher Johnson, DPT

  • Physical Therapist
  • Browns Summit, NC
National Provider Identifier
1861800542
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14517 Issued in NC
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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 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

Enrollment IDStateProvider typePAC IDDetails
I20150117000132 NC Practitioner - Physical Therapist in Private Practice 2961726195 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Broad River Rehabilitation Physical Therapist CurrentSince Jan 28, 2026 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.

FacilityTypeRoleSince
Blumenthal Health and Rehabilitation CenterGreensboro, NC, CCN 345006 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.

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.

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

Verify at the official NPI Registry.