Individual provider Active NPI

Ronnie D Johnson Jr.

  • Physical Therapist
  • Inglewood, CA
National Provider Identifier
1487754883
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT22486 Issued in CA
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

Updated by the provider on Aug 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20041210000393 CA Practitioner - Physical Therapist in Private Practice 2769449826 Reassigns benefits to 1 organization
Practice locations: Los Angeles, CA

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
RJ Physical Therapy Group IncGroup PAC ID 9234411463, 6 clinicians

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 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT22486CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RJ Physical Therapy Group Inc Physical Therapist CurrentSince Oct 18, 2016 Accepting new patients
Stevenson Orthopaedic Medical Clinic PastSince May 10, 2015 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.

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.

Verify at the official NPI Registry.