Individual provider Active NPI

Deborah Marie Lynch-Johnson, PT, CERT MDT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1962401521
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006680L Issued in PA
Practice address
420 Bainbridge St
Philadelphia, PA 19147-1568
Phone
(215) 629-1270
Fax
(215) 629-5531
NPI assigned
Jul 17, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PT006680L PA Primary

Addresses

Primary practice location

420 Bainbridge St
Philadelphia, PA 19147-1568

Mailing address

684 Pennsdale Dr
Yardley, PA 19067-3415
Phone (215) 428-0461

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1121558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962401521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 PENNSDALE DR",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190673415",
            "telephone_number": "215-428-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BAINBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471568",
            "telephone_number": "215-629-1270",
            "fax_number": "215-629-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH-JOHNSON",
        "first_name": "DEBORAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT, CERT MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006680L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.