CHAZ CALEB JOHNSON (PT, DPT) – Physical Therapist, NPI 1073089546
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO
Provider Addresses for CHAZ CALEB JOHNSON (PT, DPT)
10400 Hickman Mills Dr Ste 150
Kansas City, MO 641371620
Phone: (816) 877-0561
Type: Location
10015 N Ambassador Dr Ste 101
Kansas City, MO 641531437
Phone: (816) 891-7162
Fax: (816) 891-6704
Type: Location
5506 Corporate Dr Ste 1800
Saint Joseph, MO 64507
Phone: (816) 232-9420
Type: Location
5404 NE Antioch Rd
Kansas City, MO 641192507
Phone: (816) 454-5818
Fax: (816) 454-5994
Type: Location
Corporate Drive, North Liberty, Saint Joseph County, Indiana, 46554:46614, United States
SAINT JOSEPH, MO 645077765
Phone: (816) 232-9420
Type: Mailing
PO BOX 217297
KANSAS CITY, MO 641219297
Phone:
Type: Mailing
139 N BELT HWY STE N
SAINT JOSEPH, MO 645063445
Phone: (816) 232-1137
Fax: (816) 232-1331
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: 2021-01-06
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 |
|---|---|---|---|---|
| I20201214001122 | I | Physical Therapist In Private Practice | MO | TBD |
| I20210106002741 | I | Physical Therapist In Private Practice | KS | 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 |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 257 | 26 | $0 |
| 97530 | Therapy procedure using functional activities | 166 | 22 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 104 | 18 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 64137)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | KS | |
| Qualified Speech Language Pathologist | KS | |
| - | KS | |
| - | TN | |
| Physical Therapist In Private Practice | NE | |
| Physical Therapist In Private Practice | NE | |
| - | KS | |
| Physical Therapist In Private Practice | NE | |
| Qualified Speech Language Pathologist | AR | |
| Qualified Speech Language Pathologist | MO |
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