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

Mr. Shay Johnson, DPT

Individual provider Orthopedic Physical Therapist · NPI 1538611280

Mr. Shay Johnson, DPT is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2016, 10 years ago. Practices with Northern Asset Management Inc, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5190 Governor Dr Ste 107
San Diego, CA 92122-2848
Phone: (858) 452-0282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT 292216 (CA)

Record details

NPI number1538611280
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 28, 2016
Last updated in NPPESNovember 16, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northern Asset Management Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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