MCKENNA JOHNSON
NPI 1104400985
Physical Therapist in Coudersport, PA

Active since May 08, 2021Accepts Medicare Assignment
1001 E 2ND ST, COUDERSPORT, PA 16915(814) 274-9300 Get Directions Write a Review

NPPES record last updated: May 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mckenna Johnson NPPES

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

MCKENNA JOHNSON (NPI 1104400985) is an individual physical therapist in Coudersport, Pennsylvania, licensed in Pennsylvania (PT028867) and active in the NPI registry since May 2021. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1104400985
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMCKENNA JOHNSON
Location Address1001 E 2ND STCoudersport, PA 16915-8161
Mailing Address11 Ransom StreetPort Allegany, PA 16743 · (181) 455-8731
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 8, 2021
NPPES CertifiedApril 13, 2021
NPI 1104400985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in PA · PT028867
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1001 E 2ND ST, Coudersport, PA 16915

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

Mckenna 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 ID5597278069
PECOS Enrollment IDI20250627002706

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1001 E 2ND ST
COUDERSPORT, PA 16915
Dental Hygienist
1001 E 2ND ST
COUDERSPORT, PA 16915
Pathology (Clinical Pathology/Laboratory Medicine)
1001 E 2ND ST
COUDERSPORT, PA 16915
Internal Medicine (Gastroenterology)
1001 E 2ND ST
COUDERSPORT, PA 16915
Physician Assistant (Medical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Physician Assistant (Medical)
1001 E 2ND ST
COUDERSPORT, PA 16915
Dietitian, Registered
1001 E 2ND ST
COUDERSPORT, PA 16915
Speech-Language Pathologist
1001 E 2ND ST
COUDERSPORT, PA 16915

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckenna Johnson's NPI number?

The NPI number for Mckenna Johnson is 1104400985. It was assigned to this individual provider in the NPPES registry on May 8, 2021.

Where is Mckenna Johnson located?

Mckenna Johnson practices at 1001 E 2nd St, Coudersport, PA 16915. The listed phone number is (814) 274-9300.

What is Mckenna Johnson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Mckenna Johnson enrolled in Medicare?

Yes. Mckenna Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mckenna Johnson was last updated on May 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.