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

Jared Johnson, DPT

Individual provider Physical Therapist · NPI 1376992644

Jared Johnson, DPT is a Physical Therapist in Private Practice in Clarksville, Indiana. Qualified in 2016, 10 years ago. Practices with Ellis and Badenhausen Orthopaedics, PSC, a 36-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
10
Licensed in
IN
In the registry since
2016
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

1370 Veterans Pkwy Ste 1100
Clarksville, IN 47129-8700
Phone: (812) 727-6053
Fax: (812) 727-6054
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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 05013899A (IN)

Record details

NPI number1376992644
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 8, 2016
Last updated in NPPESMay 7, 2021
Certification dateMay 7, 2021
Mailing addressPo Box 306393, Nashville, TN 37230-6393

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ellis And Badenhausen Orthopaedics, Psc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Clarksville