Individual provider Active NPI

Sylvan M. Johnson, DPT

  • Orthopedic Physical Therapist
  • St George, UT
National Provider Identifier
1881085843
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
12215268-2401 Issued in UT
Practice address
2891 E Mall Dr Ste 200
St George, UT 84790-2399
Phone
(435) 688-1665
Fax
(435) 619-8634
NPI assigned
Feb 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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 3722 NV
Orthopedic Physical Therapist 2251X0800X 12215268-2401 UT Primary

Addresses

Primary practice location

2891 E Mall Dr Ste 200
St George, UT 84790-2399

Mailing address

PO Box 912042
Saint George, UT 84791-2042
Phone (435) 688-1665

Other practice location 1

340 Falcon Ridge Pkwy # 500
Mesquite, NV 89027
Phone (702) 346-3105

Other identifiers 1

IdentifierTypeStateIssuer
V55637OtherNVMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180724002094 NV Practitioner - Physical Therapist in Private Practice 3072830025 Reassigns benefits to 1 organization
I20250207001234 UT Practitioner - Physical Therapist in Private Practice 3072830025 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
Southwest Spine and Pain Care Specialists LLCGroup PAC ID 6406020049, 42 clinicians

Practice addresses (Care Compare)

2891 E Mall Dr
Suite 200
St George, UT 84790-1954
Phone (435) 688-1665

Merit-based Incentive Payment System (MIPS)

Final score
63.42 of 100Reported as group
Quality
45.41
Improvement activities
40
Cost
78.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12215268-2401UTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Spine and Pain Care Specialists, LLC Orthopedic CurrentSince Jan 31, 2025 Accepting new patients
Southwest Spine and Pain Care Specialists, LLC Physical Therapist CurrentSince Jan 31, 2025 Accepting new patients
Marchant Physical Therapy & Wellness, Inc. Physical Therapist CurrentSince May 21, 2018 Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Desert Springs Hospital Past Accepting new patients

Locations

340 Falcon Ridge Pkwy
Ste 500
Mesquite, NV 89027

340 Falcon Ridge Pkwy
#500
Mesquite, NV 89027
Phone (702) 346-3100

2311 N Main St
Ste 102
Cedar City, UT 84721
Phone (435) 255-7341

1716 N Highway 40
Ste 201
Heber City, UT 84032
Phone (435) 615-8822

25 N 2000 W
Ste 8
Hurricane, UT 84737
Phone (435) 635-0174

2051 E Red Hills Pkwy
Ste 7
St George, UT 84770
Phone (435) 703-2930

2891 E Mall Dr
Ste 102
St George, UT 84790

2891 E Mall Dr
Ste 200
St George, UT 84790
Phone (435) 688-1665

Interoperability endpoints

  • Direct secure messaging: sylvanjohnson@ssapcsl-ut.direct.office.nextgen.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1881085843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 912042",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847912042",
            "telephone_number": "435-688-1665",
            "fax_number": "435-619-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 E MALL DR STE 200",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902399",
            "telephone_number": "435-688-1665",
            "fax_number": "435-619-8634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Falcon Ridge Pkwy # 500",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "89027",
            "country_code": "US",
            "telephone_number": "702-346-3105",
            "fax_number": "702-346-3544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SYLVAN",
        "middle_name": "M.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2025-02-21",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3722",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "12215268-2401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "V55637",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.