DR. NEVIN JOHNSON
NPI 1639040256
Physical Therapist - Orthopedic in Southampton, NY

Q: What is Nevin Johnson's NPI number?

The NPI number for Nevin Johnson is 1639040256. It was assigned to this individual provider in the NPPES registry on September 16, 2025.

Q: What is Nevin Johnson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Nevin Johnson was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 16, 2025Accepts Medicare Assignment

240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968(631) 726-8520 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2025, Sep 16, 2025 (2 updates tracked since 2025).

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About Dr. Nevin Johnson NPPES

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

DR. NEVIN JOHNSON (NPI 1639040256) is an individual orthopedic provider in Southampton, New York, licensed in New York (054163-01) and active in the NPI registry since September 2025. He maintains a secondary practice location in Great Neck and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639040256

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameDR. NEVIN JOHNSON

Location Address240 MEETING HOUSE LNSouthampton, NY 11968-5009

Mailing Address240 Bernice DrEast Meadow, NY 11554-3502 · (516) 368-4907

Phone(631) 726-8520

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 16, 2025

Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration

NPPES CertifiedNovember 6, 2025

✔ NPI 1639040256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code2251X0800X

License✔ Licensed in NY · 054163-01

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

240 MEETING HOUSE LN, Southampton, NY 11968

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Secondary Practice Location 1

Location 1475 Northern Blvd Ste 11Great Neck, NY 11021-4802 · Phone (516) 829-0030 · Fax (516) 466-7723

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

Dr. Nevin 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 ID6103311915

PECOS Enrollment IDI20251219000036

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.

DR. KONSTADINOS J SPYRIS D.O.

Internal Medicine