ERIC SCOTT JOHNSON (PT) – Physical Therapist, NPI 1164115168

ERIC SCOTT JOHNSON (PT) is a healthcare provider. based in Lawrence, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 11-07322 (KS). The NPI Number for ERIC SCOTT JOHNSON (PT) is 1164115168

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
ERIC SCOTT JOHNSON (PT)
NPI
1164115168
Phone
(785) 505-2712
Address
325 MAINE ST
Enumeration Date
26 May 2023
Last Update Date
7 June 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6505658090
Graduation Year
2023 (3 years ago)
PAC ID
4183160534
Group Practice PAC ID
2163311556
Professional Enrollment ID
I20240723000507
Address ID
CA943063324PA3825XREAL400
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

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for ERIC SCOTT JOHNSON (PT)

  • 325 MAINE ST

    LAWRENCE, KS 660441360

    Phone: (785) 505-2712

    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: 2024-07-23

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
I20240723000507IPhysical Therapist In Private PracticeCATBD

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 66044)

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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: 2163311556View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Is ERIC SCOTT JOHNSON (PT) listed with a National Provider Identifier?
Yes — ERIC SCOTT JOHNSON (PT) has NPI 1164115168 on file in the registry.
Would ERIC SCOTT JOHNSON (PT) appear as active to a payer?
You can treat ERIC SCOTT JOHNSON (PT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to ERIC SCOTT JOHNSON (PT)?
ERIC SCOTT JOHNSON (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ERIC SCOTT JOHNSON (PT) associated with Lawrence?
Public fields place ERIC SCOTT JOHNSON (PT) around Lawrence, Kansas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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