JESSICA JOHNSON MPT
NPI 1275800021
Physical Therapist in Moose Lake, MN

Active since November 22, 2011Accepts Medicare Assignment
4791 COUNTY ROAD 10 STE 102, MOOSE LAKE, MN 55767(218) 485-2020(218) 485-2044 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Johnson Mpt NPPES

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

JESSICA JOHNSON MPT (NPI 1275800021) is an individual physical therapist in Moose Lake, Minnesota, licensed in Minnesota (7519) and active in the NPI registry since November 2011. She is a graduate of Other (2004).

NPPES Registry Identity

NPI1275800021
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJESSICA JOHNSONCredential: MPT
Location Address4791 COUNTY ROAD 10 STE 102Moose Lake, MN 55767-9221
Mailing Address1939 Minnehaha Ave W Ste 300Saint Paul, MN 55104-1033 · (651) 748-4338 · Fax (651) 748-2892
Fax(218) 485-2044
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 22, 2011
Last NPPES UpdateJanuary 3, 2025
NPPES CertifiedJanuary 3, 2025
✔ NPI 1275800021 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 MN · 7519
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.
4791 COUNTY ROAD 10 STE 102, Moose Lake, MN 55767

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Johnson Mpt 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 ID7012445802
PECOS Enrollment IDI20250107002835

Medicare Billing Reassignment

Medicare enrollment records show Jessica Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1939 MINNEHAHA AVE W STE 100
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 141 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55767 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 9

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

Physical Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Physical Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Occupational Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Occupational Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Massage Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Physical Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Speech-Language Pathologist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Massage Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767

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 Jessica Johnson's NPI number?

The NPI number for Jessica Johnson is 1275800021. It was assigned to this individual provider in the NPPES registry on November 22, 2011.

Where is Jessica Johnson located?

Jessica Johnson practices at 4791 County Road 10 Ste 102, Moose Lake, MN 55767. The listed phone number is (218) 485-2020.

What is Jessica Johnson's specialty?

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

Is Jessica Johnson enrolled in Medicare?

Yes. Jessica 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.

Which organization bills Medicare for Jessica Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Johnson reassigns Medicare benefits to Therapy Partners, Inc. (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Johnson was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.