RICHARD JOHNSON - NPI 1023864030 - Physical Therapist in Woodbine, MD

Q: What is Richard Johnson's NPI number?

The NPI number for Richard Johnson is 1023864030. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Q: What is Richard Johnson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Richard Johnson was last updated on May 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Richard Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD JOHNSON (NPI 1023864030) is an individual sports provider in Woodbine, Maryland, licensed in Maryland (30393) and active in the NPI registry since April 2024. He maintains 2 additional practice locations and is a graduate of Other (2023).

NPPES Registry Identity

NPI1023864030

Entity TypeIndividualMale

Primary Taxonomy2251S0007X

Provider Legal NameRICHARD JOHNSON

Location Address15870 FREDERICK RDWoodbine, MD 21797-8528

Mailing Address15870 Frederick RdWoodbine, MD 21797-8528

Phone(410) 844-8185

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateApril 29, 2024

Last NPPES UpdateMay 22, 20252 updates tracked since enumeration

NPPES CertifiedMay 22, 2025

✔ NPI 1023864030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in MD · 30393

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 3779 (MN)

15870 FREDERICK RD, Woodbine, MD 21797

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Secondary Practice Locations 2

Location 115308 Huntmere AveCleveland, OH 44110-1322 · Phone (216) 990-5834

Location 22600 Vikings CirEagan, MN 55121-1000 · Phone (216) 990-5834

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648767392

PECOS Enrollment IDI20251015003944, I20260217000961

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN MICHAEL HARNED DPT

Physical Therapist