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

Jude T. Johnson, DPT

Individual provider Physical Therapist · NPI 1740541036

Jude T. Johnson, DPT is a Physical Therapist in Private Practice in Cody, Wyoming. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in New Mexico and Wyoming.

Years since qualifying
14
Licensed in
NM, WY
In the registry since
2012
Specialties on file
2
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

538 Yellowstone Ave
Cody, WY 82414-9300
Phone: (307) 578-8123
Fax: (307) 578-8121
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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 1418 (WY)
Physical Therapist Taxonomy 225100000X · Licence 4574 (NM)

Record details

NPI number1740541036
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 3, 2012
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address538 Yellowstone Ave, Cody, WY 82414-9300

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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