Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Richard Wayne Johnson, PT, EDD

Individual provider Physical Therapist · NPI 1073883575

Dr. Richard Wayne Johnson, PT, EDD is a Physical Therapist in East Setauket, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

12 Technology Dr
East Setauket, NY 11733-4049
Phone: (631) 689-2009
Fax: (631) 689-2113
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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 005102-1 (NY)

Record details

NPI number1073883575
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , EDD
Sole proprietorYes
NPI enumeratedDecember 31, 2011
Last updated in NPPESDecember 31, 2011

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