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

Mitchell Johnston, OT

Individual provider Occupational Therapist · NPI 1730976531

Mitchell Johnston, OT is an Occupational Therapist in Private Practice in Elk Grove, California. Qualified in 2023, 3 years ago. Practices with Prodigy Rehabilitation Group Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2025
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

10358 Pedra Do Sol Way
Elk Grove, CA 95757-3471
Phone: (916) 730-7092
Fax: (866) 225-9947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 25755 (CA)

Record details

NPI number1730976531
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorYes
NPI enumeratedApril 23, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Prodigy Rehabilitation Group Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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