HEIDI JO JOHNSON (P.T.) – Physical Therapist, NPI 1730194465

HEIDI JO JOHNSON (P.T.) is a healthcare provider. based in Green bay, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 10899 (WI). The NPI Number for HEIDI JO JOHNSON (P.T.) is 1730194465

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
HEIDI JO JOHNSON (P.T.)
NPI
1730194465
Phone
(920) 433-7864
Address
744 S WEBSTER AVE 7TH FLOOR
Enumeration Date
30 July 2006
Last Update Date
8 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204304888
Graduation Year
1998 (28 years ago)
PAC ID
0840207205
Group Practice PAC ID
8820900749
Professional Enrollment ID
I20090217000669
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

1,990 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

Provider Addresses for HEIDI JO JOHNSON (P.T.)

  • 744 S WEBSTER AVE 7TH FLOOR

    GREEN BAY, WI 543013505

    Phone: (920) 433-7864

    Fax: (920) 433-6090

    Type: Mailing

  • 2714 Riverview Dr

    Green Bay, WI 543136715

    Phone: (920) 430-4760

    Fax: (920) 430-4774

    Type: Location

  • 723 S Wisconsin St

    Pulaski, WI 541629303

    Phone: (920) 822-1100

    Fax: (920) 822-5731

    Type: Location

  • 405 Commercial St

    Seymour, WI 541658474

    Phone: (920) 833-2318

    Fax: (920) 833-6883

    Type: Location

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    GREEN BAY, WI 543052487

    Phone: (920) 445-7210

    Fax: (920) 445-7289

    Type: Mailing

  • 1630, Commanche Avenue, Ashwaubenon, Brown County, Wisconsin, 54313, United States

    GREEN BAY, WI 543136089

    Phone: (920) 430-4750

    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: 2009-02-17

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
I20090217000669IPhysical Therapist In Private PracticeWITBD

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 minutes15232$0
97530Therapy procedure using functional activities12633$0
97140Therapy procedure using manual technique, each 15 minutes10019$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4216$0
97162Evaluation for physical therapy, typically 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 54301)

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Provider's Procedures

HEIDI JO JOHNSON (P.T.) 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 THERAPYWI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15463

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: 8820900749View full group profile
NameSpecialtyState
Family PracticeWI
-WI
Nurse PractitionerWI
Physical Therapist In Private PracticeWI
-WI
-WI
O B S T E T R I C S/ G Y N E C O L O G YWI
Nurse PractitionerWA
Certified Registered Nurse Anesthetist (Crna)WI
Physical Therapist In Private PracticeWI

Reviews

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Frequently asked questions

Can I verify HEIDI JO JOHNSON (P.T.) with an NPI only?
You can start verification with NPI 1730194465 for HEIDI JO JOHNSON (P.T.), then check state licensing separately.
Can I rely on HEIDI JO JOHNSON (P.T.) being an active provider?
As of the registry snapshot, HEIDI JO JOHNSON (P.T.) is marked active.
What healthcare role does HEIDI JO JOHNSON (P.T.) hold?
Scheduling teams often label HEIDI JO JOHNSON (P.T.) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for HEIDI JO JOHNSON (P.T.)?
HEIDI JO JOHNSON (P.T.)'s geographic hint is Green Bay, Wisconsin in our summary view.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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