MARI JOHNSON
NPI 1497445043
Physical Therapist in Rancho Cucamonga, CA

Active since May 08, 2023
11759 MOUNT CAMBRIDGE CT, RANCHO CUCAMONGA, CA 91737(909) 908-2812 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2023, May 8, 2023 (2 updates tracked since 2023).

About Mari Johnson NPPES

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

MARI JOHNSON (NPI 1497445043) is an individual physical therapist in Rancho Cucamonga, California and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1497445043
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMARI JOHNSON
Location Address11759 MOUNT CAMBRIDGE CTRancho Cucamonga, CA 91737-7916
Mailing Address11759 Mount Cambridge CtRancho Cucamonga, CA 91737-7916 · (909) 908-2812
Sole ProprietorNo
Enumeration DateMay 8, 2023
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1497445043 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
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.
11759 MOUNT CAMBRIDGE CT, Rancho Cucamonga, CA 91737

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Billing Reassignment

Medicare enrollment records show Mari Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
15272 SUMMIT AVE
Fontana, CA 92336
  • Reassigned Medicare billing, California enrollment
  • 5,228 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.

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 Mari Johnson's NPI number?

The NPI number for Mari Johnson is 1497445043. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Mari Johnson located?

Mari Johnson practices at 11759 Mount Cambridge Ct, Rancho Cucamonga, CA 91737. The listed phone number is (909) 908-2812.

What is Mari Johnson's specialty?

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

Is Mari Johnson enrolled in Medicare?

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

Which organization bills Medicare for Mari Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mari Johnson reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Mari 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 Mari Johnson was last updated on October 27, 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.