ASHLEY JOHNSON (PA) – Physical Therapy Assistant, NPI 1083037626
Physical Therapy Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for ASHLEY JOHNSON (PA)
7727 PORTLAND AVE
RICHFIELD, MN 554234320
Phone: (612) 861-1691
Fax: (612) 861-0186
Type: Mailing
15476 Dedeaux Rd Ste B
Gulfport, MS 395032637
Phone: (228) 230-2663
Fax: (228) 206-6858
Type: Location
6300 E LAKE BLVD STE 301
VANCLEAVE, MS 395656771
Phone: (228) 230-2663
Fax: (228) 206-6858
Type: Mailing
1720A MEDICAL PARK DR STE 220
BILOXI, MS 395322127
Phone: (228) 230-2663
Fax: (228) 206-6858
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: 2024-08-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230828002324 | I | Physician Assistant | LA | TBD |
| I20240829004044 | I | Physician Assistant | MS | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 79 | 79 | $0 |
Insurance plans in this area (ZIP 55423)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MS | |
| Nurse Practitioner | MS | |
| Orthopedic Surgery | MS | |
| Orthopedic Surgery | MS | |
| - | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Physician Assistant | MS | |
| Orthopedic Surgery | MS | |
| P O D I A T R Y | MS |
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