KRISTINE C JOHNSON (PT) – Physical Therapist, NPI 1114093572

KRISTINE C JOHNSON (PT) is a healthcare provider. based in Williston, Vermont. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 0400002908 (VT). The NPI Number for KRISTINE C JOHNSON (PT) is 1114093572

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
KRISTINE C JOHNSON (PT)
NPI
1114093572
Phone
(802) 860-4360
Address
426 Industrial Ave
Enumeration Date
28 November 2006
Last Update Date
18 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
5193615870
Group Practice PAC ID
0749469906
Professional Enrollment ID
I20040317000362
Address ID
VT054957904Wi426XXAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

300 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VT

Provider Addresses for KRISTINE C JOHNSON (PT)

  • 426 Industrial Ave

    Suite 190

    Williston, VT 054954448

    Phone: (802) 860-4360

    Fax: (802) 488-3160

    Type: Location

  • 120 GRAHAM WAY STE 110

    SHELBURNE, VT 054827217

    Phone: (802) 657-7990

    Type: Location

  • 426, Industrial Avenue, Kirby Corner, Williston, Chittenden County, Vermont, 05495, United States

    SUITE 190

    WILLISTON, VT 054954448

    Phone: (802) 860-4360

    Fax: (802) 488-3160

    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: 2004-03-17

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
I20040317000362IPhysical Therapist In Private PracticeVTTBD

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
97140Therapy procedure using manual technique, each 15 minutes99575$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes31561$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes30844$0
97535Training for self-care or home management, each 15 minutes13746$0
97113Therapy procedure using water pool to exercises, each 15 minutes8716$0
View full utilization report →

Insurance plans in this area (ZIP 05495)

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Provider's Procedures

KRISTINE C JOHNSON (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYVT97535Self-care or home management training, each 15 minutes2718

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: 0749469906View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
-VT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeME
-VT

Reviews

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Frequently asked questions

How is KRISTINE C JOHNSON (PT) identified in CMS data?
CMS-hosted NPPES data lists KRISTINE C JOHNSON (PT) with NPI 1114093572.
Is KRISTINE C JOHNSON (PT) still practicing?
KRISTINE C JOHNSON (PT) is currently listed as active in the public NPI registry.
What is KRISTINE C JOHNSON (PT) best known for clinically?
Directory data describes KRISTINE C JOHNSON (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for KRISTINE C JOHNSON (PT)?
KRISTINE C JOHNSON (PT)'s geographic hint is Williston, Vermont in our summary view.
Is the information about KRISTINE C JOHNSON (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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