Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pete Richar Johnson

Individual provider Physical Therapist · NPI 1184314866

Pete Richar Johnson is a Physical Therapist in Private Practice in Blackfoot, Idaho. Qualified in 2023, 3 years ago. Practices with Wright Physical Therapy Limited Partnership, a 53-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023
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Practice location Address checks out

131 N Oak St
Blackfoot, ID 83221-1757
Phone: (208) 684-2444
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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 8747 (ID)

Record details

NPI number1184314866
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023
Mailing address131 N Oak St, Blackfoot, ID 83221-1757

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wright Physical Therapy Limited Partnership — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Blackfoot