MEDICARE: CHRISTEL H JOHNSON P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	11-03019	KS
2	225100000X	Physical Therapist	1167680	TX
3	225100000X	Physical Therapist	114893	MO

General Provider Information

NPI Number	:	1457472714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTEL H JOHNSON P.T.

Provider Business Mailing Address
First Line	:	411 N WASHINGTON AVE STE 3900
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1713
Country	:	US
Telephone Number	:	214-858-7349
Fax Number	:	717-635-4921

Provider Business Practice Location Address
First Line	:	411 N WASHINGTON AVE STE 3900
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1713
Country	:	US
Telephone Number	:	214-587-3494
Fax Number	:	717-635-4921

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	02/20/2026

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