MARILYN STAROBA JOHNSON P.T.
NPI 1073557708
Physical Therapist - Orthopedic in San Diego, CA
About Marilyn Staroba Johnson P.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARILYN STAROBA JOHNSON P.T. (NPI 1073557708) is an individual orthopedic provider in San Diego, California, licensed in California (PT12294) and active in the NPI registry since June 2006. She is a graduate of Other (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marilyn Staroba Johnson P.t. 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.
Medicare Billing Reassignment
Medicare enrollment records show Marilyn Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marilyn Johnson's NPI number?
The NPI number for Marilyn Johnson is 1073557708. It was assigned to this individual provider in the NPPES registry on June 15, 2006.
Where is Marilyn Johnson located?
Marilyn Johnson practices at 5030 Camino De La Siesta Ste 220, San Diego, CA 92108. The listed phone number is (619) 260-0750.
What is Marilyn Johnson's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Marilyn Johnson enrolled in Medicare?
Yes. Marilyn Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Marilyn Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marilyn Johnson reassigns Medicare benefits to Innovative Physical Therapy Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marilyn Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marilyn Johnson was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marilyn Staroba Johnson, P.T. · NPI 1073557708
Orthopedic provider in San Diego, California. Individual provider, active in the CMS NPPES registry since June 15, 2006.
## Identity
- **NPI:** 1073557708 (Entity type: Individual)
- **Enumerated:** June 15, 2006
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** PT12294 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5030 CAMINO DE LA SIESTA STE 220, San Diego, CA 92108-3118
- **Phone:** (619) 260-0750 · **Fax:** (619) 260-0201
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Innovative Physical Therapy Inc (NPI 1821047580, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1984
## Record status
- **NPPES last updated:** August 13, 2014
- **Other identifiers:** Medicare PIN WPT12294B (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1073557708) · Data from the CMS NPPES public registry.