Parker Johnson, PT
NPI 1285419358ActiveIndividual· Specialist/Technologist, Athletic Trainer· Pocatello, ID
Specialist/Technologist, Athletic Trainer (PT) with Specialized Physical Therapy PLLC, practicing in Pocatello, Idaho. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1285419358 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Aug 28, 2023 |
| Last updated in NPPES | Aug 9, 2024 |
| Certified by provider | Aug 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | — | ID |
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 (ID) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Specialized Physical Therapy PLLCPocatello, ID · 5 clinicians
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