Marilyn Staroba Johnson, P.T.
NPI 1073557708ActiveIndividual· Physical Therapist, Orthopedic· San Diego, CA
Physical Therapist, Orthopedic (P.T.) with Innovative Physical Therapy, Inc., practicing in San Diego, California. Medicare paid $177,127 for services to 195 patients in 2024.
Overview
| NPI | 1073557708 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.T. |
| Sole proprietor | No |
| NPI issued | Jun 15, 2006 |
| Last updated in NPPES | Aug 13, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | PT12294 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 195 |
|---|---|
| Services billed | 9,420 across 16 procedure codes |
| Paid by Medicare | $177,127 |
Education and affiliations
| Graduation year | 1984 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Innovative Physical Therapy, Inc.San Diego, CA · 5 clinicians
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All 109 orthopedic physical therapists in San Diego · All orthopedic physical therapists in California