Collin J Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT294776 Issued in CA

Practice address

1350 41St Ave Ste 100
Capitola, CA 95010-3934

Phone

(831) 706-2085

Fax

(831) 417-3799

NPI assigned

Jul 2, 2018

Sex

Male

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)

Enrolled

State licenses

Practice roles

Locations

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.

• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Bakersfield, CA
  • NPI 1104859230

  Physical Therapist

  NPD
• San Luis Physical Therapy & Orthopedic Rehabilitation Inc

  dba Movement For Life Physical Therapy

  • Physical Therapy Clinic/Center
  • Atascadero, CA
  • NPI 1225046824

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1912493941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 US HIGHWAY 56",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "668468704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 41ST AVE STE 100",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103934",
            "telephone_number": "831-706-2085",
            "fax_number": "831-417-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COLLIN",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT294776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janus of Santa Cruz (Recovery Residence Capitola)
• Jay Pennock, MD a Professional Corporation
• Eunjung Jeon
• Joe Jiravisitcul, PHARM. D.
• John P Owens MD Inc (Pediatric Cardiology Associates)
• Mark L Johnson, PHD
• Joya Jones, PTA
• Nicole Michelle Jordan
• Joseph P Fogel MD Inc
• JSS Consulting, Inc. (Soquel Hearing Aid Center)

• Physical Therapist in Capitola, CA
• Providers in Capitola, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.