ALICIA BLACKHAM JOHNSON (DPT) – Physical Therapist, NPI 1285292862

ALICIA BLACKHAM JOHNSON (DPT) is a healthcare provider. based in Williamsburg, Virginia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2305212681 (VA). The NPI Number for ALICIA BLACKHAM JOHNSON (DPT) is 1285292862

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA BLACKHAM JOHNSON (DPT)
NPI
1285292862
Phone
(757) 229-9740
Address
201 Bulifants Blvd Ste B
Enumeration Date
30 May 2019
Last Update Date
17 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7579034230
Graduation Year
2018 (8 years ago)
PAC ID
1355678012
Group Practice PAC ID
3678467974
Professional Enrollment ID
I20190805000798
Address ID
VA231882695WI5388XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

3,080 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VA

Provider Addresses for ALICIA BLACKHAM JOHNSON (DPT)

  • 201 Bulifants Blvd Ste B

    Williamsburg, VA 231885731

    Phone: (757) 229-9740

    Fax: (757) 229-9741

    Type: Location

  • 5388 Discovery Park Blvd Ste 100

    Williamsburg, VA 231888218

    Phone: (757) 903-4230

    Fax: (757) 903-4231

    Type: Location

  • 7630 WISTAR VILLAGE DR APT C

    HENRICO, VA 232283524

    Phone: (702) 994-6790

    Type: Mailing

  • 300B TEMPLE LAKE DR STE 1

    COLONIAL HEIGHTS, VA 238342973

    Phone: (804) 524-9036

    Type: Location

  • 9928 MOUNTAIN BERRY CT

    TOANO, VA 231689616

    Phone: (702) 994-6790

    Type: Mailing

  • 4125 IRONBOUND RD STE 101

    WILLIAMSBURG, VA 231882666

    Phone: (757) 220-8383

    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: 2019-08-05

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
I20190805000798IPhysical Therapist In Private PracticeVATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes9357$0
97140Therapy procedure using manual technique, each 15 minutes6452$0
97530Therapy procedure using functional activities6248$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2622$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care1614$0
View full utilization report →

Insurance plans in this area (ZIP 23188)

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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: 3678467974View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVA
-VA
-MD
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
Physical Therapist In Private PracticeVA
-VA
Physical Therapist In Private PracticeVA

Reviews

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Frequently asked questions

Does ALICIA BLACKHAM JOHNSON (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ALICIA BLACKHAM JOHNSON (DPT) uses 1285292862.
Is ALICIA BLACKHAM JOHNSON (DPT) listed as active for patients and plans?
The listing shows ALICIA BLACKHAM JOHNSON (DPT) as active in the NPI system.
What is ALICIA BLACKHAM JOHNSON (DPT)'s primary classification?
Physical Therapist is the headline specialty for ALICIA BLACKHAM JOHNSON (DPT) here. Clinical services aligned with this taxonomy classification.
What address line appears for ALICIA BLACKHAM JOHNSON (DPT)?
ALICIA BLACKHAM JOHNSON (DPT)'s geographic hint is Williamsburg, Virginia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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