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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JAN RONALD JOHNSON, PT

Active Sole Proprietor

MR. JAN RONALD JOHNSON, PT is a Physical Therapy Assistant healthcare provider located in SOUTH LAKE TAHOE, California. NPI 1295784510 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SOUTH LAKE TAHOE, CA

Registration Details

NPI Number
1295784510
Provider Type
Individual
Gender
Male
NPI Issued
May 6, 2006 (20.090495766937 yrs)
Last Updated
Jul 14, 2025
License
6891 (CA)
Sole Proprietor
Yes

Practice Information

Address
2249 SIERRA HOUSE TRL
SOUTH LAKE TAHOE, CA, 961506830
Browse CA providers · Browse ZIP 96150
Phone
5305425750
Fax
5305425752
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in SOUTH LAKE TAHOE, CA

Name Credential NPI
CHRISTOPHER S PROCTOR PT 1750372116
JASON SCOTT COLLIN PT 1366403933
JENNIFER LYNN COOPER P.T. 1407806821
LISA COLLINS PT 1598780629
DAVID MATTHEW SILKEY MPT, CSCS 1578664991
JESSICA MONALOY PT 1376628552
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.