Active NPI
Scott Edward Johnson, PT MS
- Physical Therapist
- Manhattan, KS
National Provider Identifier
1902871908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 112499
- Practice address
- 426 A McCall Rd
Manhattan, KS 66502 - Phone
- (785) 776-0670
- Fax
- (785) 776-0096
- NPI assigned
- Feb 22, 2006
- Last updated
- Dec 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | 112499 | KS | Primary |
Addresses
Primary practice location
426 A McCall Rd
Manhattan, KS 66502
Mailing address
426 A McCall Rd
Manhattan, KS 66502
Phone (785) 776-0670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
426 McCall Rd
A
Manhattan, KS 66502-5032
Phone (785) 776-0670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112499 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maximum Functional Performance Inc | Physical Therapist | Current | Accepting new patients |
Locations
426 McCall Rd
#A
Manhattan, KS 66502
Phone (785) 776-0670
Organizations & group practices 1
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 Maximum Performance
- Physical Therapist
- Manhattan, KS
- NPI 1851445894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291334400000",
"number": "1902871908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 A MCCALL RD",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "66502",
"telephone_number": "785-776-0670",
"fax_number": "785-776-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 A MCCALL RD",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "66502",
"telephone_number": "785-776-0670",
"fax_number": "785-776-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SCOTT",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "PT MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2010-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "112499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.