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

Mr. Clyde W Johnson, PT, CHT

Individual provider Physical Therapist · NPI 1962579375

Mr. Clyde W Johnson, PT, CHT is a Physical Therapist in Private Practice in Bellevue, Washington. Qualified in 1991, 35 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
35
Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
CHT — Certified Hand Therapist
An occupational or physical therapist with advanced certification in hand and upper-limb rehabilitation.

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Practice location Address checks out

3101 Northup Way Ste 301
Bellevue, WA 98004-1449
Phone: (425) 462-5006
Fax: (425) 462-5019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1632 116th Ave Ne, Bellevue, WA 98004-3035 — (425) 462-9800

Specialties & licences

Hand Physical Therapist (primary) Taxonomy 2251H1200X · Licence PT00005729 (WA)
Physical Therapist Taxonomy 225100000X · Licence PT00005729 (WA)

Record details

NPI number1962579375
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , CHT
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023
Mailing address510 8th Ave Ne Ste 320, Issaquah, WA 98029-5436

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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