Traci I. Johnson, PT
NPI 1598440943ActiveIndividual· Physical Therapist· Broken Bow, NE
Physical Therapist (PT) in Broken Bow, Nebraska, trained at University of Nebraska College of Medicine (class of 2023). Medicare paid $26,015 for services to 69 patients in 2024.
Overview
| NPI | 1598440943 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Jun 21, 2023 |
| Last updated in NPPES | Jun 21, 2023 |
| Certified by provider | Jun 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 4501 | NE |
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 (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 69 |
|---|---|
| Services billed | 1,501 across 9 procedure codes |
| Paid by Medicare | $26,015 |
Education and affiliations
| Medical school | University of Nebraska College of Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Team Physical Therapy PCBroken Bow, NE · 12 clinicians
Other Physical Therapist providers in Broken Bow
- 1386052520
- 1871805549
- 1215026786
- 1659465409
- 1952696650
- 1689241853
- 1699873968
- 1508799149
- 1346312535
- 1265668172
- 1386948750
- 1083025571