ANNA DARIA JOHNSTON (PT, DPT) – Physical Therapist, NPI 1164197604

ANNA DARIA JOHNSTON (PT, DPT) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 2021032146 (MO). The NPI Number for ANNA DARIA JOHNSTON (PT, DPT) is 1164197604

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ANNA DARIA JOHNSTON (PT, DPT)
NPI
1164197604
Phone
Not provided
Address
625 KENMOOR AVE SE STE 100
Enumeration Date
16 August 2021
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6369399540
Graduation Year
2021 (5 years ago)
PAC ID
8820493414
Group Practice PAC ID
2365342318
Professional Enrollment ID
I20210819001982
Address ID
MO633761655SA300XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for ANNA DARIA JOHNSTON (PT, DPT)

  • 625 KENMOOR AVE SE STE 100

    GRAND RAPIDS, MI 495462395

    Phone:

    Type: Mailing

  • 300 FIRST EXECUTIVE AVE STE C

    SAINT PETERS, MO 633761655

    Phone: (636) 939-9540

    Type: Location

  • 3747 SW Raintree Dr

    Lees Summit, MO 640824606

    Phone: (816) 537-5648

    Fax: (816) 537-5649

    Type: Location

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone: (234) 238-7217

    Type: Mailing

  • 3747 SW RAINTREE DR

    LEES SUMMIT, MO 640824606

    Phone: (816) 537-5648

    Fax: (816) 537-5649

    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: 2021-08-19

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
I20210819001982IPhysical Therapist In Private PracticeMOTBD

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 minutes535218$0
97530Therapy procedure using functional activities384215$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes292166$0
97140Therapy procedure using manual technique, each 15 minutes147104$0
97161Evaluation for physical therapy, typically 20 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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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: 2365342318View full group profile
NameSpecialtyState
-MO
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
-MI
Physical Therapist In Private PracticeMI
-MO

Reviews

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Frequently asked questions

Is there an official ID for ANNA DARIA JOHNSTON (PT, DPT) in U.S. healthcare records?
The official identifier for ANNA DARIA JOHNSTON (PT, DPT) is NPI 1164197604.
Is there an active status for ANNA DARIA JOHNSTON (PT, DPT)?
For scheduling context, ANNA DARIA JOHNSTON (PT, DPT) is shown as active in the registry.
What clinical focus is listed for ANNA DARIA JOHNSTON (PT, DPT)?
At a glance, ANNA DARIA JOHNSTON (PT, DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANNA DARIA JOHNSTON (PT, DPT)?
Travel planning: use Grand Rapids, Michigan as the reference point for ANNA DARIA JOHNSTON (PT, DPT), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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