MR. JAN RONALD JOHNSON PT
NPI 1295784510
Physical Therapist in South Lake Tahoe, CA
About Mr. Jan Ronald Johnson Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JAN RONALD JOHNSON PT (NPI 1295784510) is an individual physical therapist in South Lake Tahoe, California, licensed in California (6891) and active in the NPI registry since May 2006. He is a graduate of Other (1974).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jan Ronald Johnson Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 4
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.
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 Jan Johnson's NPI number?
The NPI number for Jan Johnson is 1295784510. It was assigned to this individual provider in the NPPES registry on May 6, 2006.
Where is Jan Johnson located?
Jan Johnson practices at 2249 Sierra House Trl, South Lake Tahoe, CA 96150. The listed phone number is (530) 542-5750.
What is Jan Johnson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jan Johnson enrolled in Medicare?
Yes. Jan Johnson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jan Johnson was last updated on July 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.