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

Kennady L Johnson

Individual provider Physical Therapist · NPI 1730834417

Kennady L Johnson is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2021, 5 years ago. Practices with Regents of the University of California, a 2,061-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3218 Governor Drive, La Jolla, CA 92112 — (858) 453-3000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 301656 (CA)

Record details

NPI number1730834417
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 21, 2022
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Diego