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

Clark Johnson

Individual provider Physical Therapist · NPI 1407124910

Clark Johnson is a Physical Therapist in Private Practice in Logan, Utah. Qualified in 2010, 16 years ago. Practices with Atlas Medical Utah LLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, California, Massachusetts and Oregon and 1 more.

Years since qualifying
16
Licensed in
AZ, CA, MA, OR, UT
In the registry since
2011
Specialties on file
5
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Practice location Address checks out

258 S Main St Ste 210
Logan, UT 84321-5768
Phone: (435) 383-6120
Fax: (435) 557-8003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 990 Medical Dr Ste U4, Brigham City, UT 84302-4714 — (435) 383-6120

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8030412-2401 (UT)
Physical Therapist Taxonomy 225100000X · Licence 9307 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 38312 (CA)
Physical Therapist Taxonomy 225100000X · Licence 06226 (OR)
Physical Therapist Taxonomy 225100000X · Licence 19237 (MA)

Record details

NPI number1407124910
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 12, 2011
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing address258 S Main St Ste 210, Logan, UT 84321-5768

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Atlas Medical Utah Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Logan