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

Marilyn Staroba Johnson, PT

Individual provider Orthopedic Physical Therapist · NPI 1073557708

Marilyn Staroba Johnson, PT is a Physical Therapist in Private Practice in San Diego, California. Qualified in 1984, 42 years ago. Practices with Innovative Physical Therapy, Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
42
Licensed in
CA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5030 Camino De La Siesta Ste 220
San Diego, CA 92108-3118
Phone: (619) 260-0750
Fax: (619) 260-0201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT12294 (CA)

Record details

NPI number1073557708
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESAugust 13, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Innovative Physical Therapy, Inc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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