MS. MELISSA A. JOHNSON (DPT) – Physical Therapist, NPI 1205971637

MS. MELISSA A. JOHNSON (DPT) is a healthcare provider. based in Edmonds, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT00008981 (WA). The NPI Number for MS. MELISSA A. JOHNSON (DPT) is 1205971637

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. MELISSA A. JOHNSON (DPT)
NPI
1205971637
Phone
(425) 672-2910
Address
21009 76TH AVE W
Enumeration Date
21 February 2007
Last Update Date
10 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4257454910
Graduation Year
2002 (24 years ago)
PAC ID
1759377252
Group Practice PAC ID
5496943516
Professional Enrollment ID
I20040421000987
Address ID
WA980121273MI16030HWYX402
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

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for MS. MELISSA A. JOHNSON (DPT)

  • 21009 76TH AVE W

    EDMONDS, WA 980267105

    Phone: (425) 672-2910

    Fax: (425) 778-1872

    Type: Mailing

  • 16030 BOTHELL EVERETT HWY STE 200

    MILL CREEK, WA 980121273

    Phone: (425) 745-4910

    Fax: (425) 338-5709

    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: 2004-04-21

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
I20040421000987IPhysical 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 activities1,00889$0
97140Therapy procedure using manual technique, each 15 minutes55046$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes43049$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes11425$0
97161Evaluation for physical therapy, typically 20 minutes6562$0
View full utilization report →

Insurance plans in this area (ZIP 98026)

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Provider's Procedures

MS. MELISSA A. JOHNSON (DPT) 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 THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes72357

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: 5496943516View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Does MS. MELISSA A. JOHNSON (DPT) have a public NPI I can cite?
Public records show MS. MELISSA A. JOHNSON (DPT) under NPI 1205971637.
Should I treat MS. MELISSA A. JOHNSON (DPT) as an active provider?
Patients and plans typically see MS. MELISSA A. JOHNSON (DPT) as active in the national extract.
Which specialty label fits MS. MELISSA A. JOHNSON (DPT)?
NPPES ties MS. MELISSA A. JOHNSON (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MS. MELISSA A. JOHNSON (DPT) in Edmonds, Washington?
For routing, start with Edmonds, Washington for MS. MELISSA A. JOHNSON (DPT), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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