Crystal Mae Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

53004 Issued in CA

Practice address

1020 Termino Ave
Long Beach, CA 90804-4123

Phone

(562) 433-6791

NPI assigned

Mar 31, 2025

Last updated

Mar 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1760285266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11902 BERTHA ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TERMINO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908044123",
            "telephone_number": "562-433-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CRYSTAL MAE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "53004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Rae Johnson, D.D.S.
• Cassidy Johnson, DC
• Charee Johnson
• Coulsander Johnson
• Courtney Victoria Johnson, PMHNP
• Daivana Johnson
• Deshawn Allen Johnson
• Diane L. Johnson, M.D.
• Dominique Johnson
• Donnice Nicole Johnson

• Physical Therapy Assistant in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.