Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mandy Johnson

Individual provider Physical Therapist · NPI 1629581624

Mandy Johnson is registered under Physical Therapist in Private Practice in Lincoln, North Dakota. Qualified in 2017, 9 years ago. Practices with Advanced Physical Therapy and Fitness, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Idaho and North Dakota.

Years since qualifying
9
Licensed in
ID, ND
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2730 Paintball Way
Lincoln, ND 58504-2500
Phone: (701) 955-2102
Fax: (701) 955-5715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2219 (ND)
Physical Therapist Taxonomy 225100000X · Licence 5265 (ID)

Record details

NPI number1629581624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 13, 2017
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Advanced Physical Therapy And Fitness, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients29
Services billed 1,031 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Advanced Physical Therapy and Fitness, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Lincoln