Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1831733161 Deactivated / Inactive NPI Male Practitioner

Dr. Nicholas Bornt Johnson , DPT

Physical Therapist • Brandon, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Nicholas Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 30, 2019
NPI Deactivation Date January 17, 2024
Total Practice Duration ~5 Years of Practice (2019 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Johnson, DPT was a registered Physical Therapist practicing in Brandon, FL. Throughout an active medical career spanning 5 years, Dr. Johnson provided care at the practice location at 1320 OAKFIELD DR until profile deactivation on 2024-01-17.

Historical Medicare Part B clinical services included therapy procedure using functional activities, walking training to, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1320 Oakfield Dr

Brandon, FL 335114860

Telephone 7278031102
Associated Practice Facility / Clinic
🏢 Brandon Assisted Living Llc Facility NPI 1518572866

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Brandon, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
125 Specialists

Practicing in Brandon, FL (14601 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
341 23 $81.00 $26.87
97116 Walking training to 1 or more areas, each 15 minutes
127 15 $61.00 $21.16
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
88 16 $62.00 $22.25
97162 Evaluation for physical therapy, typically 30 minutes
19 18 $169.00 $94.29

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License FL PT29280

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Gina Lastella , OTR, L

Occupational Therapist

NPI 1003567769

Occupational Therapist Registered, L

Amber Spath , OTR, L

Occupational Therapist

NPI 1013681188

Occupational Therapist Registered, L

Bao-Quyen Nguyen , PT

Physical Therapist

NPI 1033714852

Physical Therapist

Tara Marsh , PTA

Physical Therapy Assistant

NPI 1033765581

Physical Therapist Assistant

Dr. Desann Maul , DPT

Physical Therapist

NPI 1043792914

Doctor of Physical Therapy

Michael Miller , OT

Occupational Therapist

NPI 1043879257

Occupational Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 17, 2024

Record deactivated on January 17, 2024

NPI Profile Active October 30, 2019

NPI status registered as active in NPPES database

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Updated Practice Location October 30, 2019

Registered at 1320 OAKFIELD DR, BRANDON, FL 335114860 (Tel: 7278031102)

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Updated Business Mailing Address October 30, 2019

Registered at 260 1ST AVE S STE 200, SAINT PETERSBURG, FL 337014364 (Tel: 7278031102)

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Provider Name / Credentials Updated October 30, 2019

Recorded as NICHOLAS JOHNSON, DPT

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2019

Physical Therapist (License #PT29280 in FL)

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Initial NPI Registration & Enumeration October 30, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831733161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2019
Last Update: October 30, 2019
Deactivation Date: January 17, 2024

Mailing Address

260 1st Ave S Ste 200

Saint Petersburg, FL 337014364

Phone: 7278031102

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.