MR. ROBIN COURTNEY JOHANSON (DPT) – Physical Therapist, NPI 1548202880

MR. ROBIN COURTNEY JOHANSON (DPT) is a healthcare provider. based in Corvallis, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5005 (OR). The NPI Number for MR. ROBIN COURTNEY JOHANSON (DPT) is 1548202880

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROBIN COURTNEY JOHANSON (DPT)
NPI
1548202880
Phone
Not provided
Address
PO BOX 1188
Enumeration Date
12 June 2006
Last Update Date
11 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
2466485461
Group Practice PAC ID
9931097987
Professional Enrollment ID
I20050912000186
Address ID
OR973211700AL400XXNWXX400

Contacts

Secure Messaging
rjohanson6703@samhealth.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for MR. ROBIN COURTNEY JOHANSON (DPT)

  • PO BOX 1188

    CORVALLIS, OR 973391188

    Phone:

    Type: Mailing

  • Hickory Street Northwest, North Albany, Albany, Benton County, Oregon, 97321, United States

    ALBANY, OR 973211700

    Phone: (541) 812-5840

    Fax: (541) 812-5841

    Type: Mailing

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: 2005-09-12

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
I20050912000186IPhysical Therapist In Private PracticeORTBD

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 97339)

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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: 9931097987View full group profile
NameSpecialtyState
P S Y C H I A T R YOR
-OR
-OR
-OR
Clinical PsychologistOR
Internal Medicine, Pediatric MedicineOR
Family PracticeOR
-OR
Hospitalist, Family PracticeOR
O B S T E T R I C S/ G Y N E C O L O G YOR

Reviews

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Frequently asked questions

How is MR. ROBIN COURTNEY JOHANSON (DPT) identified in CMS data?
CMS-hosted NPPES data lists MR. ROBIN COURTNEY JOHANSON (DPT) with NPI 1548202880.
Does CMS list MR. ROBIN COURTNEY JOHANSON (DPT) as active?
Yes — MR. ROBIN COURTNEY JOHANSON (DPT) is active in the NPI listing used on this page.
What is MR. ROBIN COURTNEY JOHANSON (DPT)'s specialty?
The listing groups MR. ROBIN COURTNEY JOHANSON (DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does MR. ROBIN COURTNEY JOHANSON (DPT) serve?
MR. ROBIN COURTNEY JOHANSON (DPT)'s listing highlights Corvallis, Oregon; more addresses can appear in NPPES.
Is the information about MR. ROBIN COURTNEY JOHANSON (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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