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

Mr. Gary Russell Johnson, PT

Individual provider Physical Therapist · NPI 1285794107

Mr. Gary Russell Johnson, PT is a Physical Therapist in Private Practice in Woodville, Mississippi. Qualified in 1990, 36 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
36
Licensed in
MS
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

558 1st South St
Woodville, MS 39669-3777
Phone: (601) 888-7944
Fax: (601) 888-4676
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1639 (MS)

Record details

NPI number1285794107
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESOctober 22, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Woodville