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

Dr. Dane George Johnson, DPT

Individual provider Physical Therapist · NPI 1639750326

Dr. Dane George Johnson, DPT is a Physical Therapist in Private Practice in Upland, California. Qualified in 2020, 6 years ago. Practices with Medical Center for Bone and Joint Disorders, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

400 N Mountain Ave Ste 310
Upland, CA 91786-5182
Phone: (909) 920-6457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (CA)

Record details

NPI number1639750326
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 15, 2021
Last updated in NPPESApril 15, 2021
Certification dateMarch 23, 2021
Mailing address11068 Shiloh Ct, Rancho Cucamonga, CA 91737-7810

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Medical Center For Bone And Joint Disorders — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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