MORIAH JOHNSON (DPT) – Physical Therapist, NPI 1619676301

MORIAH JOHNSON (DPT) is a healthcare provider. based in Fairbanks, Alaska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 204419 (MO). The NPI Number for MORIAH JOHNSON (DPT) is 1619676301

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MORIAH JOHNSON (DPT)
NPI
1619676301
Phone
(907) 457-7678
Address
2310 PEGER RD STE 101
Enumeration Date
1 March 2023
Last Update Date
15 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9074577678
Graduation Year
2021 (5 years ago)
PAC ID
9234504762
Group Practice PAC ID
9931178753
Professional Enrollment ID
I20230413002502
Address ID
AK997095305FA2310XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

458 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AK

Provider Addresses for MORIAH JOHNSON (DPT)

  • 2310 PEGER RD STE 101

    FAIRBANKS, AK 997095305

    Phone: (907) 457-7678

    Fax: (907) 457-7677

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230413002502IPhysical Therapist In Private PracticeAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes33123$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes16219$0
View full utilization report →

Insurance plans in this area (ZIP 99709)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931178753View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK
-AK
Physical Therapist In Private PracticeAK
Physical Therapist In Private PracticeAK

Reviews

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Frequently asked questions

What identifier follows MORIAH JOHNSON (DPT) across health systems?
The NPI 1619676301 uniquely identifies MORIAH JOHNSON (DPT) in U.S. healthcare data.
Is MORIAH JOHNSON (DPT)'s NPI status active today?
Active status means MORIAH JOHNSON (DPT)'s NPI record is not deactivated in the public file.
What services align with MORIAH JOHNSON (DPT)'s listing?
MORIAH JOHNSON (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MORIAH JOHNSON (DPT)?
MORIAH JOHNSON (DPT) is associated with Fairbanks, Alaska in the same public data insurers reference.
Why is information missing for MORIAH JOHNSON (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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