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

Timothy David Johnson, PTA

Individual provider Physical Therapy Assistant · NPI 1376614537

Timothy David Johnson, PTA is a Physical Therapy Assistant in Fremont, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2296 Country Dr
Fremont, CA 94536-5315
Phone: (510) 797-9299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT6097 (CA)

Record details

NPI number1376614537
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 10, 2006
Last updated in NPPESJuly 21, 2014
Mailing address5871 Crump Ct, San Jose, CA 95120-3824

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