MATTHEW JOHNSON – Physical Therapist, NPI 1619115565

MATTHEW JOHNSON is a healthcare provider. based in Nevada, Iowa. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 004327 (IA). The NPI Number for MATTHEW JOHNSON is 1619115565

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW JOHNSON
NPI
1619115565
Phone
(515) 382-3366
Address
PO BOX 461
Enumeration Date
30 January 2009
Last Update Date
30 January 2009

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
5159617435
Graduation Year
2008 (18 years ago)
PAC ID
3274042429
Group Practice PAC ID
1456250448
Professional Enrollment ID
I20250530002176
Address ID
IA501253703IN1507XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

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Provider Addresses for MATTHEW JOHNSON

  • PO BOX 461

    NEVADA, IA 502010461

    Phone: (515) 382-3366

    Fax: (515) 382-1576

    Type: Mailing

  • 8th Street Southwest, Altoona, Polk County, Iowa, 50009, United States

    ALTOONA, IA 500092301

    Phone: (515) 967-4124

    Fax: (515) 967-9094

    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: 2025-05-30

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
I20250530002176IPhysical Therapist In Private PracticeIATBD

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 50201)

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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: 1456250448View full group profile
NameSpecialtyState
Family Practice, Obstetrics/GynecologyIA
Internal MedicineIA
Physical Therapist In Private PracticeIA
Nurse PractitionerIA
Physical Therapist In Private PracticeIA
Family PracticeIA
Physical Therapist In Private PracticeIA
Orthopedic SurgeryIA
Family PracticeIA
Rheumatology, Internal MedicineIA

Reviews

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Frequently asked questions

Can I verify MATTHEW JOHNSON with an NPI only?
You can start verification with NPI 1619115565 for MATTHEW JOHNSON, then check state licensing separately.
Does the file indicate MATTHEW JOHNSON is practicing under active NPI?
Directory data currently reports MATTHEW JOHNSON as active.
What is MATTHEW JOHNSON's primary classification?
Physical Therapist is the headline specialty for MATTHEW JOHNSON here. Clinical services aligned with this taxonomy classification.
Does MATTHEW JOHNSON list a practice location?
Patients near Nevada, Iowa may find MATTHEW JOHNSON in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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