MR. SHAY JOHNSON (NPI# 1538611280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538611280 |
| Entity Type | Individual |
| Full Name | MR. SHAY JOHNSON |
| Credential | DPT |
| Practice Address |
5190 Governor Dr Ste 107 San Diego CA 92122-2848 |
| Mailing Address |
5190 Governor Dr. Suite 107 San Diego CA 92122 |
| Practice Telephone | 8584520282 |
| Mailing Telephone | 8584520282 |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT 292216 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5190 GOVERNOR DR STE 107 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92122-2848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518132901 | University City Physical Therapy, Inc. | Physical Therapist | 5190 Governor Dr Ste 107, San Diego, CA 92122-2848 | 2008-04-25 |
| 1912487398 | Elizabeth Ellen Rucker | Physical Therapist | 5190 Governor Dr Ste 107, San Diego, CA 92122-2848 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561630 | Neal Yacoo | Pharmacist | 9085 Judicial Drive #2137, San Diego, CA 92122 | 2019-04-29 |
| 1598242828 | Gena Rachel Katzer | Social Worker | 3246 Willard St, San Diego, CA 92122 | 2018-07-19 |
| 1164919791 | Janine Marie Battaglia | Nurse Practitioner | Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 | 2018-04-19 |
| 1669991899 | Lindsay Y Ditmars | Pharmacist | 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 | 2017-09-19 |
| 1154747103 | Rebecca Jackson | Nurse Practitioner | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
| 1851726582 | Grace Lorelei Allen | Doula | 2728 Nansen Avenue, San Diego, CA 92122 | 2013-09-12 |
| 1427301894 | Barry Katzman, M.d., Inc., Apc | Optometrist | 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 | 2012-10-22 |
| 1912295361 | Yingjian Liang | Psychiatry & Neurology | Gillman Drive 9500, San Diego, CA 92122 | 2011-07-19 |
| 1467775486 | David Michael Trejo | Psychologist | 5080 Shoreham Place, Suite 103, San Diego, CA 92122 | 2010-03-04 |
| 1225369556 | Jeffrey J Abrams | Internal Medicine | 3395 Willard St, San Diego, CA 92122 | 2010-01-27 |
| Find all providers in zip 92122 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1710532726 | Katherine Dever Jones | Physical Therapist | 7625 Mesa College Dr # 101a, San Diego, CA 92111-5343 | 2019-08-06 |
| 1437711082 | Garrett Kale | Physical Therapist | 9333 Genesee Ave # 350a, San Diego, CA 92121-2111 | 2019-07-03 |
| 1467946921 | Meredith Claire Haeuptle | Physical Therapist | 7625 Mesa College Dr Ste 101a, San Diego, CA 92111-5343 | 2018-06-19 |
| 1407362650 | Chelsea Boomer | Physical Therapist | 6475 Alvarado Rd Ste 118, San Diego, CA 92120-5007 | 2017-12-26 |
| 1679018675 | Julie Woolridge | Physical Therapist | 295 G Street, San Diego, CA 92101-4633 | 2016-12-29 |
| 1710351747 | Jonathan Pe | Physical Therapist | 18109 Smokesignal Dr, San Diego, CA 92127-3108 | 2015-11-13 |
| 1801295332 | Julie Guerin | Physical Therapist | 17860 Main, San Diego, CA 92177-7860 | 2014-08-20 |
| 1811330400 | Keith Mahler Physical Therapist & Associates | Physical Therapist | 7801 Mission Center Ct Ste 430, San Diego, CA 92108-1332 | 2013-04-12 |
| 1720337660 | Jenna Marie Kempf | Physical Therapist | 2555 Camino Del Rio South, 102, San Diego, CA 92108 | 2012-09-06 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.