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

Tyler Johnson, PT, DPT

Individual provider Physical Therapist · NPI 1275170201

Tyler Johnson, PT, DPT is a Physical Therapist in Private Practice in Salem, Oregon. Qualified in 2019, 7 years ago. Practices with Salem Health, a 479-clinician group and accepts Medicare assignment. Licensed in Georgia, Oregon and Tennessee.

Years since qualifying
7
Licensed in
GA, OR, TN
In the registry since
2019
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1600 State St
Salem, OR 97301-4257
Phone: (503) 540-6300
Fax: (503) 540-6404
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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 65517 (OR)
Physical Therapist Taxonomy 225100000X · Licence PT014269 (GA)
Physical Therapist Taxonomy 225100000X · Licence 14668 (TN)

Record details

NPI number1275170201
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedDecember 10, 2019
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing address28620 N El Mirage Rd Ste B102, Peoria, AZ 85383-2098

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Salem Health — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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