MR. BRETT CHARLES JOHNSON (MSPT) – Physical Therapist, NPI 1578586178
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID
Provider Addresses for MR. BRETT CHARLES JOHNSON (MSPT)
N Division Avenue, Sandpoint, Bonner County, Idaho, 83864, United States
SANDPOINT, ID 838648268
Phone: (208) 265-0610
Fax: (208) 265-9192
Type: Mailing
1132 E Polston Ave
Post Falls, ID 838546045
Phone: (208) 777-7800
Fax: (208) 777-9209
Type: Location
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 605151211
Phone: (866) 370-8206
Fax: (517) 435-3670
Type: Mailing
14403 NE FOURTH PLAIN BLVD STE 140
VANCOUVER, WA 986825001
Phone: (360) 947-3147
Fax: (360) 564-7023
Type: Location
1132, East Polston Avenue, Post Falls, Kootenai County, Idaho, 83854, United States
POST FALLS, ID 838546045
Phone: (208) 777-7800
Fax: (208) 777-9209
Type: Location
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: 2026-03-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040611000479 | I | Physical Therapist In Private Practice | WA | TBD |
| I20140410001285 | I | Physical Therapist In Private Practice | ID | TBD |
| I20260313000947 | I | Physical Therapist In Private Practice | OR | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83864)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | ID | 97001 | Physical therapy evaluation | 81 | 73 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | IL | |
| - | AL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | WA | |
| - | IL | |
| Physical Therapist In Private Practice | AP | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | OR |
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