Jessica Johnson
NPI 1205380722ActiveIndividual· Physical Therapist· Bridgeton, MO
Physical Therapist with Athletico Ltd, practicing in Bridgeton, Missouri. Medicare paid $30,666 for services to 63 patients in 2024.
Overview
| NPI | 1205380722 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 12, 2016 |
| Last updated in NPPES | Jan 2, 2025 |
| Certified by provider | Jan 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2016026835 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 1,400 across 13 procedure codes |
| Paid by Medicare | $30,666 |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Athletico LtdOttawa, IL · 2,200 clinicians
Other physical therapists in Bridgeton
- 1861968299
- 1124413315
- 1588210082
- 1669352811
- 1720109242
- 1811461577
- 1972950269
- 1376038273
- 1093821332
- 1508428491
- 1407300429
- 1487961868
All 84 physical therapists in Bridgeton · All physical therapists in Missouri