MICHAEL A. JOHNSTON (PT) – Physical Therapist, NPI 1114979622

MICHAEL A. JOHNSTON (PT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 4088 (SC). The NPI Number for MICHAEL A. JOHNSTON (PT) is 1114979622

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL A. JOHNSTON (PT)
NPI
1114979622
Phone
(630) 296-2222
Address
790 REMINGTON BLVD
Enumeration Date
16 May 2006
Last Update Date
16 September 2014

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
2082860766
Graduation Year
1998 (28 years ago)
PAC ID
9032195383
Group Practice PAC ID
0345229068
Professional Enrollment ID
I20260313003244
Address ID
ID836695858ST9652XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

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Provider Addresses for MICHAEL A. JOHNSTON (PT)

  • 790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2222

    Fax: (630) 795-6106

    Type: Mailing

  • Milan Laser Hair Removal, 71, Silhavy Road, Valparaiso, Porter County, Indiana, 46383, United States

    SUITE 121

    VALPARAISO, IN 463834484

    Phone: (219) 462-0576

    Fax: (219) 462-0216

    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 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
I20260313003244IPhysical Therapist In Private PracticeIDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60440)

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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: 0345229068View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeID
-ID
-ID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeID
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

How do payers reference MICHAEL A. JOHNSTON (PT)?
For MICHAEL A. JOHNSTON (PT), use NPI 1114979622 as the unique 10-digit identifier.
Would MICHAEL A. JOHNSTON (PT) appear as active to a payer?
You can treat MICHAEL A. JOHNSTON (PT) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MICHAEL A. JOHNSTON (PT)?
MICHAEL A. JOHNSTON (PT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with MICHAEL A. JOHNSTON (PT)?
Directory geography for MICHAEL A. JOHNSTON (PT) centers on Bolingbrook, Illinois.
Does MICHAEL A. JOHNSTON (PT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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