Active NPI
Ronnie D Johnson Jr.
- Physical Therapist
- Inglewood, CA
National Provider Identifier
1487754883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT22486
- Practice address
- 575 E Hardy St Ste 105
Inglewood, CA 90301-4040 - Phone
- (310) 412-0100
- Fax
- (310) 412-0110
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT22486 | CA | Primary |
Addresses
Primary practice location
575 E Hardy St Ste 105
Inglewood, CA 90301-4040
Mailing address
P.O. Box 452464
Los Angeles, CA 90045
Phone (310) 412-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
575 E Hardy St
Suite 105
Inglewood, CA 90301-4040
Phone (310) 412-0100
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT22486 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RJ Physical Therapy Group Inc | Physical Therapist | Current | Accepting new patients |
| Stevenson Orthopaedic Medical Clinic | Past | Accepting new patients |
Locations
575 E Hardy St
Ste 105
Inglewood, CA 90301
Phone (310) 412-0100
501 E Hardy St
Ste 160
Inglewood, CA 90301
Phone (310) 295-0075
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Inglewood, CA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1487754883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 452464",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90045",
"telephone_number": "310-412-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 E HARDY ST STE 105",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014040",
"telephone_number": "310-412-0100",
"fax_number": "310-412-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RONNIE",
"middle_name": "D",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT22486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.