Loagan Mackenzie Johnson, PT, DPT
NPI 1063036242ActiveIndividual· Physical Therapist· Byram, MS
Physical Therapist (PT, DPT) in Byram, Mississippi, trained at University of Mississippi School of Medicine (class of 2020). Medicare paid $11,239 for services to 46 patients in 2024.
Overview
| NPI | 1063036242 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jun 3, 2020 |
| Last updated in NPPES | Jun 3, 2020 |
| Certified by provider | Jun 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT6875 | MS |
| Physical Medicine & Rehabilitation | 208100000X | PT6875 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 719 across 8 procedure codes |
| Paid by Medicare | $11,239 |
Education and affiliations
| Medical school | University of Mississippi School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Performance Therapy LLCJackson, MS · 86 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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