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

Mrs. Tamara Evette Johnson

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1174700413

Mrs. Tamara Evette Johnson is a Physical Therapist in Private Practice in Oxon Hill, Maryland. Qualified in 1999, 27 years ago. Practices with Sports Pro Physical Therapy South LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
27
Licensed in
MD, VA
In the registry since
2008
Specialties on file
2

Practice location Address checks out

6196 Oxon Hill Rd Ste 430
Oxon Hill, MD 20745-3100
Phone: (301) 567-1678
Fax: (301) 567-2728
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 20141 (MD)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 2305202035 (VA)

Record details

NPI number1174700413
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 29, 2008
Last updated in NPPESMarch 27, 2013
Mailing addressPo Box 79586, Baltimore, MD 21279-3100

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Sports Pro Physical Therapy South Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oxon Hill