Individual provider Active NPI

Conner Johnson, DPT, PT

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1659180636
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307142 Issued in CA
Practice address
2855 Carlsbad Blvd
Carlsbad, CA 92008-2902
Phone
(800) 255-1556
NPI assigned
Jan 3, 2025
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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 307142 CA Primary

Addresses

Primary practice location

2855 Carlsbad Blvd
Carlsbad, CA 92008-2902

Mailing address

4164 Camino Campana
Oceanside, CA 92057-3550
Phone (209) 597-2185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108003687 CA Practitioner - Physical Therapist in Private Practice 7719415413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2245 Camino Vida Roble
Suite 103
Carlsbad, CA 92011-1557
Phone (760) 683-8959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307142CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Coast Rehab Physical Therapy Inc Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients
Eggleton Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients

Locations

2536 Rockwood Ave
Calexico, CA 92231
Phone (760) 768-3422

2245 Camino Vida Roble
Ste 103
Carlsbad, CA 92011
Phone (760) 683-8959

2855 Carlsbad Blvd
Carlsbad, CA 92008
Phone (760) 720-4580

2437 Fenton St
Ste B
Chula Vista, CA 91914
Phone (619) 656-5176

1350 S El Camino Real
Encinitas, CA 92024
Phone (760) 479-1818

317 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 337-1144

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567

400 Route 70
Lakewood, NJ 08701
Phone (440) 263-9228

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1659180636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 CAMINO CAMPANA",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920573550",
            "telephone_number": "209-597-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CARLSBAD BLVD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082902",
            "telephone_number": "800-255-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CONNER",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.