CHARLES MICHAEL JOHNSTON (NPI# 1144778234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144778234 |
| Entity Type | Individual |
| Full Name | CHARLES MICHAEL JOHNSTON |
| Credential | PT |
| Practice Address |
100 E Ferguson St Suite 1204 Tyler TX 75702-5759 |
| Mailing Address |
3710 Terilynn Dr Longview TX 75604-1027 |
| Practice Telephone | 9035092040 |
| Mailing Telephone | 9032975920 |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2016-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1115228 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
1115228 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1115228 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1115228 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770860215 | Charles Mark Johnston | Psychiatry & Neurology | 4324 Meridian Ave N, Seattle, WA 98103-7604 | 2011-11-11 |
| 1831288422 | Charles Bradford Johnston | Internal Medicine | 1102 Chicago Ave, Oak Park, IL 60302-1804 | 2006-10-12 |
| 1215046081 | Charles E Johnston | Psychiatry & Neurology | 2801 Sw Nye Avenue, Pendleton, OR 97801 | 2006-08-29 |
| 1528051075 | Charles William Johnston | Chiropractor | 109 Rhoades Ave, Greenville, OH 45331-2625 | 2005-08-30 |
| 1437718715 | Charles Franklin Johnston Jr. | Social Worker | 175 N Groesbeck Hwy, Mount Clemens, MI 48043-1562 | 2019-06-10 |
| 1356623680 | Charles Kenneth Johnston | Pharmacist | 6390 Boulder Hwy, Las Vegas, NV 89122-7439 | 2011-09-13 |
| 1659408466 | Charles Curtis Johnston | Emergency Medicine | 168 S Howell St, Hillsdale, MI 49242-2040 | 2007-02-28 |
| 1225145600 | Charles Nickell Johnston Jr. | Social Worker | 4801 Veterans Dr, Saint Cloud, MN 56303-2015 | 2006-08-23 |
| 1386604288 | Charles E Johnston | Orthopaedic Surgery | 2222 Welborn St, Dallas, TX 75219-3924 | 2006-03-24 |
| 1588655526 | Charles Johnston | Family Medicine | 8280 W Warm Springs Rd, Las Vegas, NV 89113-3612 | 2005-10-31 |
| Street Address |
100 E FERGUSON ST SUITE 1204 |
| City | TYLER |
| State | TX |
| Zip Code | 75702-5759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568789907 | Brandi Havard | Occupational Therapy Assistant | 100 E Ferguson St, Tyler, TX 75702-5759 | 2010-04-26 |
| 1578164653 | Melanie Neal | Speech-Language Pathologist | 100 E Ferguson St, Tyler, TX 75702-5759 | 2020-11-04 |
| 1538760640 | Ancelmo Mojarro | Physical Medicine & Rehabilitation | 100 E Ferguson St, Tyler, TX 75702-5759 | 2020-11-04 |
| 1760098115 | Caitlin Magnuson | Speech-Language Pathologist | 100 E Ferguson St, Tyler, TX 75702-5759 | 2020-09-21 |
| 1346855616 | Kelsey Guin | Speech-Language Pathologist | 100 E Ferguson St, Tyler, TX 75702-5759 | 2020-09-13 |
| 1144849191 | Jacey Elizabeth Monroe | Registered Nurse | 100 E Ferguson St, #608, Tyler, TX 75702-5756 | 2020-04-09 |
| 1467013748 | Jordan Page Magruder | Speech-Language Pathologist | 100 E Ferguson St, Tyler, TX 75702-5759 | 2019-06-26 |
| 1659931285 | Hellen Njoki Njagi | Licensed Vocational Nurse | 100 E Ferguson St, Tyler, TX 75702-5759 | 2019-06-17 |
| 1477119915 | Cheryl Little | Speech-Language Pathologist | 100 E Ferguson St, Tyler, TX 75702-5759 | 2019-05-09 |
| 1679032494 | Sarah Michele Womack | Specialist/Technologist | 100 E Ferguson St, Tyler, TX 75702-5759 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043791908 | Shonda Juarez | Physical Therapist | 3111 Lake Vista Cir, Tyler, TX 75707-1707 | 2018-08-28 |
| 1730668542 | Kathleen Lewis Reeves | Physical Therapist | 8428 Stonebridge Way, Tyler, TX 75703-8014 | 2018-08-13 |
| 1164913729 | Christian Dyanne Shuler | Physical Therapist | 218 E 1st St, Tyler, TX 75701-3129 | 2018-05-19 |
| 1992214209 | Wayne Bradshaw Fancher IIi | Physical Therapist | 11466 Honor Ln, Tyler, TX 75708-3296 | 2017-09-29 |
| 1699223388 | Rebecca Gonzlaes | Physical Therapist | 3821 Lazy Creek Dr, Tyler, TX 75707-1543 | 2016-09-12 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1689127458 | Kimberly Tollefson | Physical Therapist | 5619 Berkeley Dr, Tyler, TX 75707-6195 | 2016-07-28 |
| 1922498922 | Bunker Physical Therapy Pllc | Physical Therapist | 5407 New Copeland Rd Ste 100, Tyler, TX 75703-3951 | 2015-01-28 |
| 1821486598 | Reah Tan-ferrer | Physical Therapist | 930 S. Baxter, Tyler, TX 75701 | 2015-01-05 |
| 1033507058 | Joanna Marie Chan | Physical Therapist | 5811 Persimmon Dr, Tyler, TX 75707-2016 | 2014-12-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.