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

Parker Johnson, PT

Individual provider Athletic Trainer · NPI 1285419358

Parker Johnson, PT is a Physical Therapist in Private Practice in Pocatello, Idaho. Qualified in 2024, 2 years ago. Practices with Specialized Physical Therapy PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4141 Pole Line Rd Ste A
Pocatello, ID 83202-4904
Phone: (208) 242-8617
Fax: (833) 608-2470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (ID)

Record details

NPI number1285419358
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 9, 2024
Certification dateAugust 28, 2023
Mailing address4141 Pole Line Road, Ste A, Pocatello, ID 83202-4904

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Specialized Physical Therapy Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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