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

Kelly Johnston

Individual provider Rehabilitation Practitioner · NPI 1366021552

Kelly Johnston is a Rehabilitation Practitioner in Tustin, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

14632 Yorba St Ste B
Tustin, CA 92780-2554
Phone: (714) 714-0780
Show map & directions

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

Additional practice locations (1)

  • 3550 Camino Del Rio N Ste 104, San Diego, CA 92108-1738 — (760) 634-1125

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Rehabilitation Practitioner Taxonomy 225400000X (CA)

Record details

NPI number1366021552
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing address14632 Yorba St Ste B, Tustin, CA 92780-2554

Other providers in Tustin