CLARK JOHNSON
NPI 1407124910
Physical Therapist in Logan, UT

Active since December 12, 2011
258 S MAIN ST STE 210, LOGAN, UT 84321(435) 383-6120(435) 557-8003 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Clark Johnson NPPES

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

CLARK JOHNSON (NPI 1407124910) is an individual physical therapist in Logan, Utah, licensed in Utah (8030412-2401) and active in the NPI registry since December 2011. He maintains a secondary practice location in Brigham City.

NPPES Registry Identity

NPI1407124910
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCLARK JOHNSON
Location Address258 S MAIN ST STE 210Logan, UT 84321-5768
Mailing Address258 S Main St Ste 210Logan, UT 84321-5768 · (435) 383-6120 · Fax (435) 557-8003
Fax(435) 557-8003
Sole ProprietorNo
Enumeration DateDecember 12, 2011
Last NPPES UpdateMay 9, 2023
NPPES CertifiedMay 9, 2023
✔ NPI 1407124910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in UT · 8030412-2401✔ Licensed in AZ · 9307✔ Licensed in CA · 38312✔ Licensed in OR · 06226✔ Licensed in MA · 19237
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
258 S MAIN ST STE 210, Logan, UT 84321

Secondary Practice Location 1

Location 1990 Medical Dr Ste U4Brigham City, UT 84302-4714 · Phone (435) 383-6120 · Fax (435) 557-8003

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clark Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Clark Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
258 S MAIN ST STE 210
Logan, UT 84321
  • Reassigned Medicare billing, Utah enrollment
  • 10 clinicians in this Medicare group
Physical Therapist
990 MEDICAL DR, STE U-4
Brigham City, UT 84302
  • Reassigned Medicare billing, Utah enrollment
  • 2 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 5

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
288 services29 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
90 services16 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
89 services17 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
76 services12 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
50 services12 patients

Other Providers at the Same Location NPPES 7

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

General Practice
258 S MAIN ST STE 210
LOGAN, UT 84321
Home Health
258 S MAIN ST STE 210
LOGAN, UT 84321
Physical Therapist
258 S MAIN ST STE 210
LOGAN, UT 84321
Internal Medicine
258 S MAIN ST STE 210
LOGAN, UT 84321
Physical Therapist
258 S MAIN ST STE 210
LOGAN, UT 84321
Clinic/Center
258 S MAIN ST STE 210
LOGAN, UT 84321
Hospice Care, Community Based
258 S MAIN ST STE 210
LOGAN, UT 84321

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 Clark Johnson's NPI number?

The NPI number for Clark Johnson is 1407124910. It was assigned to this individual provider in the NPPES registry on December 12, 2011.

Where is Clark Johnson located?

Clark Johnson practices at 258 S Main St Ste 210, Logan, UT 84321. The listed phone number is (435) 383-6120.

What is Clark Johnson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Clark Johnson enrolled in Medicare?

Yes. Clark Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Clark Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clark Johnson reassigns Medicare benefits to 2 organizations: Atlas Medical Utah LLC (Logan, UT) and Rlc Physical Therapy & Rehab, LLC (Brigham City, UT). Each 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 Clark 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 Clark Johnson was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.