KYLE CAMERON JOHNSON DPT
NPI 1043995244
Physical Therapist - Orthopedic in Logan, UT

Active since June 16, 2023Accepts Medicare Assignment
2310 N 400 E STE B, LOGAN, UT 84341(435) 774-8557 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kyle Cameron Johnson Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE CAMERON JOHNSON DPT (NPI 1043995244) is an individual orthopedic provider in Logan, Utah, licensed in Utah (13395834-2401) and active in the NPI registry since June 2023. He is a graduate of University Of Utah School Of Medicine (2023).

NPPES Registry Identity

NPI1043995244
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameKYLE CAMERON JOHNSONCredential: DPT
Location Address2310 N 400 E STE BLogan, UT 84341-1799
Mailing Address314 W 3170 SNibley, UT 84321-6693 · (435) 760-6095
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2023
Enumeration DateJune 16, 2023
NPPES CertifiedJune 16, 2023
NPI 1043995244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in UT · 13395834-2401
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

2310 N 400 E STE B, Logan, UT 84341

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kyle Cameron Johnson Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648631994
PECOS Enrollment IDI20230802002347

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
2310 N 400 E STE B
NORTH LOGAN, UT 84341
Physical Therapy Assistant
2310 N 400 E STE B
NORTH LOGAN, UT 84341
Physical Therapist
2310 N 400 E STE B
NORTH LOGAN, UT 84341
Physical Therapist
2310 N 400 E STE B
NORTH LOGAN, UT 84341

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043995244, enumerated as an "individual" on June 16, 2023.

The provider is located at 2310 N 400 E STE B LOGAN, UT 84341 and the phone number is (435) 774-8557.

Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.