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

Dr. Matthew Johnson, DO

Individual provider Family Medicine Physician · NPI 1801209713

Dr. Matthew Johnson, DO is a Family Practice in Lebanon, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania, South Carolina and Virginia.

Years since qualifying
12
Licensed in
PA, SC, VA
In the registry since
2014
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

920 Church St
Lebanon, PA 17042
Phone: (717) 272-2700
Fax: (717) 272-2757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3209 Colonial Drive, Columbia, SC 29203 — (803) 434-6113

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102207758 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence LL36689 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS019404 (PA)

Record details

NPI number1801209713
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 9, 2014
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing address4524 Woodlawn Dr, Emmaus, PA 18049-1250

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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