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

Dr. Jared Thornton Johnson

Individual provider Physical Therapist · NPI 1104310663

Dr. Jared Thornton Johnson is a Physical Therapist in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

4416 S Brandon St
Seattle, WA 98118-2341
Phone: (206) 721-3630
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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 CP019173T (WA)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1104310663
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023

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