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

Tracy Johnson, DPT

Individual provider Physical Therapist · NPI 1386375558

Tracy Johnson, DPT is a Physical Therapist in Private Practice in Reno, Nevada. Qualified in 2022, 4 years ago. Licensed in California, Nevada and Washington.

Years since qualifying
4
Licensed in
CA, NV, WA
In the registry since
2022
Specialties on file
3
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

5301 Longley Ln Unit C
Reno, NV 89511-1805
Phone: (916) 905-6378
Fax: (916) 672-0114
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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 6518 (NV)
Physical Therapist Taxonomy 225100000X · Licence PT61311447 (WA)
Physical Therapist Taxonomy 225100000X · Licence 304342 (CA)

Record details

NPI number1386375558
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 20, 2022
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024
Mailing address209 Kirkland Ave, Kirkland, WA 98033-6503

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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