Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Michael Johnston, PT

Individual provider Physical Therapist · NPI 1144778234

Charles Michael Johnston, PT is a Physical Therapist in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
Specialties on file
4
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

100 E Ferguson St Ste 1204
Tyler, TX 75702-5759
Phone: (903) 509-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1115228 (TX)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence 1115228 (TX)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence 1115228 (TX)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 1115228 (TX)

Record details

NPI number1144778234
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 17, 2016
Last updated in NPPESSeptember 17, 2016
Mailing address3710 Terilynn Dr, Longview, TX 75604-1027

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