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

Mr. Lucas Jared Johnson, MPT

Individual provider Physical Therapist · NPI 1356447999

Mr. Lucas Jared Johnson, MPT is a Physical Therapist in Prunedale, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

17823 Countryside Ct
Prunedale, CA 93907-8804 Not confirmed with CMS for 18 years — call before visiting
Phone: (831) 663-8818
Fax: (831) 663-5376
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT30111 (CA)

Record details

NPI number1356447999
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESNovember 6, 2007

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