Jan Ronald Johnson, PT
NPI 1295784510ActiveIndividual· Physical Therapist· South Lake Tahoe, CA
Physical Therapist (PT) in South Lake Tahoe, California, licensed in CA, with an NPI issued in May 2006. Medicare paid $25,343 for services to 24 patients in 2024.
Overview
| NPI | 1295784510 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | May 6, 2006 |
| Last updated in NPPES | Jul 14, 2025 |
| Certified by provider | Jul 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 6891 | 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 | 24 |
|---|---|
| Services billed | 1,520 across 7 procedure codes |
| Paid by Medicare | $25,343 |
Education and affiliations
| Graduation year | 1974 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Other physical therapists in South Lake Tahoe
- 1245776327
- 1255707618
- 1366403933
- 1376628552
- 1437815883
- 1447769997
- 1528635489
- 1760216360
- 1003792441
- 1578664991
- 1013070481
- 1992155527
All 35 physical therapists in South Lake Tahoe · All physical therapists in California