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

Mr. Paul T Johnson

Individual provider Physical Therapist · NPI 1720208317

Mr. Paul T Johnson is a Physical Therapist in Private Practice in Santa Rosa, California. Qualified in 1984, 42 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
42
Licensed in
CA
In the registry since
2007
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Practice location Address checks out

3033 Cleveland Ave 205
Santa Rosa, CA 95403-2126
Phone: (707) 542-8313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT12496 (CA)

Record details

NPI number1720208317
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 26, 2007
Last updated in NPPESJuly 8, 2007

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 Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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