Andrew Mergen Johnson, DPT
Physical Therapist in Fort Mill, SC. Individual provider (NPI-1).
NPI number1790286540
StatusActive
Last updated in NPPESFeb 27, 2018
Details
- NPI
- 1790286540
- Entity type
- Individual (NPI-1)
- Name
- Andrew Mergen Johnson
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2018
- Last updated
- Feb 27, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 9021 | SC | Yes |
| 225100000X | Physical Therapist | P17754 | NC |
Practice location
206 Springcrest DrFort Mill, SC 29715-7306
Phone 803-746-4655 · Fax 803-746-7807
Mailing address
1377 Motor Pkwy Ste 307Islandia, NY 11749-5258
Phone 631-580-5200 · Fax 631-580-5222
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 89 Physical Therapist providers in Fort Mill · All 1,429 providers in Fort Mill
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