Individual provider Active NPI

Daniel Morgan Johnston, PT, OCS, CSCS, CMP

  • Physical Therapist
  • Camarillo, CA
National Provider Identifier
1891727137
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28530 Issued in CA
Practice address
500 Paseo Camarillo # 105
Camarillo, CA 93010-5900
Phone
(805) 987-6851
Fax
(805) 987-8045
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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 PT28530 CA Primary

Addresses

Primary practice location

500 Paseo Camarillo # 105
Camarillo, CA 93010-5900

Mailing address

500 Paseo Camarillo # 105
Camarillo, CA 93010-5900
Phone (805) 987-6851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT28530CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heng Medical, Inc Past Accepting new patients
PMK Medical Group, Inc. Past Accepting new patients
Moorpark Physical Therapy & Sport Rehab Center Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1891727137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PASEO CAMARILLO # 105",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105900",
            "telephone_number": "805-987-6851",
            "fax_number": "805-987-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PASEO CAMARILLO # 105",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105900",
            "telephone_number": "805-987-6851",
            "fax_number": "805-987-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "DANIEL",
        "middle_name": "MORGAN",
        "name_prefix": "Mr.",
        "credential": "PT, OCS, CSCS, CMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.