Sydney Elisabeth Johnson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

141972552401 Issued in UT

Practice address

617 E Riverside Dr
Saint George, UT 84790-8719

Phone

(435) 673-4303

NPI assigned

Dec 27, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sydney Elisabeth Blake Former name

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marchant Physical Therapy and Wellness IncGroup PAC ID 5890693055, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Marchant Physical Therapy & Wellness, Inc.

  • Specialist
  • Mesquite, NV
  • NPI 1205838265

  Physical Therapist, UT

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1881402451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 S AZURE RIDGE CIR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847802295",
            "telephone_number": "208-821-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E RIVERSIDE DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847908719",
            "telephone_number": "435-673-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SYDNEY",
        "middle_name": "ELISABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "141972552401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "BLAKE",
            "middle_name": "ELISABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Johnson
• Rhett B Johnson
• Richard J Johnson, PT
• Rylee Johnson, RN
• Savannah June Johnson
• Sylvan M. Johnson, DPT
• Thomas Allen Johnson, D.C.
• Tracy B Johnson
• Val H Johnson, LCSW
• Danielle M Johnston, LCSW

• Physical Therapist in Saint George, UT
• Providers in Saint George, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.