LEVI R JOHNSON (D.P.T) – Orthopedic Physical Therapist, NPI 1184167702

LEVI R JOHNSON (D.P.T) is a healthcare provider. based in Anacortes, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials D.P.T. They hold a License No. PT60691763 (WA). The NPI Number for LEVI R JOHNSON (D.P.T) is 1184167702

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
LEVI R JOHNSON (D.P.T)
NPI
1184167702
Phone
(360) 299-2781
Address
3001 R AVE
Enumeration Date
30 November 2016
Last Update Date
30 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3602790100
Graduation Year
2016 (10 years ago)
PAC ID
2062794530
Group Practice PAC ID
9739469651
Professional Enrollment ID
I20170117002028
Address ID
WA982772641OA3265020XX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for LEVI R JOHNSON (D.P.T)

  • 3001, R Avenue, Anacortes, Skagit County, Washington, 98221, United States

    SUITE 110

    ANACORTES, WA 982214602

    Phone: (360) 299-2781

    Fax: (360) 299-3038

    Mailing address matches the actual address.

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: 2017-01-17

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
I20170117002028IPhysical Therapist In Private PracticeWATBD

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
97530Therapy procedure using functional activities1,76565$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes46949$0
97140Therapy procedure using manual technique, each 15 minutes34553$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes8621$0
97162Evaluation for physical therapy, typically 30 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 98221)

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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: 9739469651View full group profile
NameSpecialtyState
-WA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Is there an official ID for LEVI R JOHNSON (D.P.T) in U.S. healthcare records?
The official identifier for LEVI R JOHNSON (D.P.T) is NPI 1184167702.
Is LEVI R JOHNSON (D.P.T) still an active registrant?
LEVI R JOHNSON (D.P.T) carries an active NPI according to the public dataset.
How would a patient describe LEVI R JOHNSON (D.P.T)'s focus?
For LEVI R JOHNSON (D.P.T), the primary taxonomy reads as Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LEVI R JOHNSON (D.P.T)?
Travel planning: use Anacortes, Washington as the reference point for LEVI R JOHNSON (D.P.T), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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