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

Dr. Nevin Johnson

Individual provider Orthopedic Physical Therapist · NPI 1639040256

Dr. Nevin Johnson is a Physical Therapist in Private Practice in Southampton, New York. Qualified in 2024, 2 years ago. Practices with Reddy Care Physical Therapy PC, a 139-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025

Practice location Address checks out

240 Meeting House Ln
Southampton, NY 11968-5009
Phone: (631) 726-8520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 Northern Blvd Ste 11, Great Neck, NY 11021-4802 — (516) 829-0030

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 054163-01 (NY)

Record details

NPI number1639040256
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address240 Bernice Dr, East Meadow, NY 11554-3502

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Reddy Care Physical Therapy Pc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southampton