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MR. CLYDE W JOHNSON PT CHT NPI 1962579375


NPI Information

NPI: 1962579375
Provider Name: MR. CLYDE W JOHNSON, PT, CHT
Classification: Physical Therapist - 2251H1200X
Entity Type: Individual

Specialization: Hand

Organization: PROLIANCE SURGEONS INC PS Address:
1200 112TH AVE NE STE C260
BELLEVUE, WA
ZIP 98004
Phone: (425) 462-5006
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MR. Clyde W Johnson, PT, CHT is a hand physical therapist in Bellevue, WA with 33 years of experience. MR. Clyde W Johnson, PT, CHT NPI is 1962579375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1200 112TH AVE NE STE C260
BELLEVUE, WA
ZIP 98004
Phone: (425) 462-5006
Fax: (425) 462-5019

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Physical therapy evaluation (HCPCS:97001)

The enumeration date for this NPI number is 11/29/2006 and was last updated on 9/12/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistPT00005729WASHINGTONNo
22251H1200XPhysical TherapistHandPT00005729WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11023366MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.