Clark Johnson
NPI 1407124910ActiveIndividual· Physical Therapist· Logan, UT
Physical Therapist in Logan, Utah, licensed in UT, AZ, CA and OR and other states, with an NPI issued in December 2011. Medicare paid $12,077 for services to 31 patients in 2024.
Overview
| NPI | 1407124910 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 12, 2011 |
| Last updated in NPPES | May 9, 2023 |
| Certified by provider | May 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 8030412-2401 | UT |
| Physical Therapist | 225100000X | 9307 | AZ |
| Physical Therapist | 225100000X | 38312 | CA |
| Physical Therapist | 225100000X | 06226 | OR |
| Physical Therapist | 225100000X | 19237 | MA |
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 (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 654 across 10 procedure codes |
| Paid by Medicare | $12,077 |
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All 68 physical therapists in Logan · All physical therapists in Utah