MADALYN JOHNSON – Occupational Therapist, NPI 1023885027

MADALYN JOHNSON is a healthcare provider. based in American fork, Utah. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 13710338-4201 (UT). The NPI Number for MADALYN JOHNSON is 1023885027

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MADALYN JOHNSON
NPI
1023885027
Phone
Not provided
Address
521 S 500 E APT D108
Enumeration Date
8 December 2023
Last Update Date
8 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017664244
Graduation Year
2023 (3 years ago)
PAC ID
1759732795
Group Practice PAC ID
0042228512
Professional Enrollment ID
I20240104000150
Address ID
UT840435673LE3300XWAYX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

156 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for MADALYN JOHNSON

  • 521 S 500 E APT D108

    AMERICAN FORK, UT 840034173

    Phone:

    Type: Mailing

  • 3300 N RUNNING CREEK WAY STE 150

    LEHI, UT 840435563

    Phone: (801) 766-4244

    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: 2024-01-04

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
I20240104000150IOccupational Therapist In Private PracticeUTTBD

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 84003)

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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: 0042228512View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeAR
-UT
-UT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
-UT
Qualified Speech Language PathologistUT
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

What NPI should I save for MADALYN JOHNSON?
Save NPI 1023885027 if you need a stable reference for MADALYN JOHNSON.
Is MADALYN JOHNSON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MADALYN JOHNSON work in?
You can think of MADALYN JOHNSON as practicing within Occupational Therapist. Clinical services aligned with this taxonomy classification.
Does MADALYN JOHNSON practice in Utah?
You will see American Fork, Utah on file for MADALYN JOHNSON alongside any extra practice locations.
What if American Fork, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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