MR. CLYDE W JOHNSON


Address: 1200 112th Ave Ne Ste C260, Bellevue, WA 98004
Phone: 4254625006

MR. CLYDE W JOHNSON (NPI# 1962579375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962579375
Entity Type Individual
Full Name MR. CLYDE W JOHNSON
Credential PT, CHT
Practice Address 1200 112th Ave Ne Ste C260
Bellevue
WA 98004
Mailing Address 510 8th Ave Ne Ste 320
Issaquah
WA 98029-5436
Practice Telephone 4254625006
Practice Fax Number 4254625019
Mailing Telephone 4254625006
Mailing Fax Number 4254625019
Enumeration Date 2006-11-29
Last Update Date 2019-09-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225100000X Physical Therapist PT00005729 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2251H1200X Physical Therapist
Specialization: Hand
PT00005729 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1023366 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1632 116th Ave Ne, Suite C, Bellevue, WA 980043035 4254629800 4254549143

Other Providers CLYDE JOHNSON

NPI Name Taxonomy Address Enumeration
1821256223 Clyde D Johnson Jr. Physician Assistant 5881 Glendrige Dr Ne, Suite 120, Atlanta, GA 30328 2008-06-02
1447749056 Clyde Johnson IIi Community/Behavioral Health 2525 Tiller Lane Ste 110, Columbus, OH 43231 2018-05-09
1063766723 Clyde Francis Johnson Chiropractor 7940 S University Blvd, Ste 100, Centennial, CO 80122-5104 2012-11-02
1568767317 Clyde Johnson Counselor 930 N 14th St, New Castle, IN 47362-4311 2011-01-25
1124007851 Clyde L. Johnson Jr. Surgery 1051 Johnston Willis Dr., St. 200, Richmond, VA 23235 2006-01-11

Office Location

Street Address 1200 112TH AVE NE STE C260
City BELLEVUE
State WA
Zip Code 98004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275593014 Lorelei A Mock Physical Therapist 1200 112th Ave Ne Ste C260, Bellevue, WA 98004 2006-03-24
1861090292 Nelson Thai Physical Therapist 1200 112th Ave Ne Ste C260, Bellevue, WA 98004-3746 2020-10-16
1154929537 Jennifer Louise Davis Physical Therapist 1200 112th Ave Ne Ste C260, Bellevue, WA 98004-3746 2020-10-16
1508393133 Rachel Lauren Entrekin Physical Therapist 1200 112th Ave Ne Ste C260, Bellevue, WA 98004-3746 2017-05-14
1598151870 Nicole Victoria Jimenez Physical Therapist 1200 112th Ave Ne Ste C260, Bellevue, WA 98004 2015-04-13
1477726446 Megan Noel Swanson Occupational Therapist 1200 112th Ave Ne Ste C260, Bellevue, WA 98004-3746 2008-04-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
1720553613 Christine Eyler Pediatrics Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 2018-10-08
1437634730 Hazelden Betty Ford Foundation Clinic/Center 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 2018-10-02
1356827828 Seattle Spine Group, Pllc Orthopaedic Surgery 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 2018-07-17
1669989216 Atsuko Nakajima Acupuncturist 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 2018-01-04
1740794718 Radka Chapin Counseling, LLC Clinic/Center 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 2017-11-28
1962912105 Cuyler Ann Simmons Counselor 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 2017-10-02
1639690357 Nicolas Lopez-montalvo Behavioral Analyst 3003 Northup Way Suite 200, Bellevue, WA 98004 2017-07-03
1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
Find all providers in zip 98004

Taxonomy Information

Taxonomy Code 2251H1200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Hand

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083112254 Therapy Management Services, Pllc Physical Therapist 19400 108th Ave Se Ste 100, Kent, WA 98031-0108 2018-01-23
1346589512 Karen Hull Lauckhardt Physical Therapist 420 S Clarkwood Dr, Bellingham, WA 98225-8702 2013-02-07
1265659387 Totem Lake Physical Therapy, Pllc Physical Therapist 12910 Totem Lake Blvd, Suite 105, Kirkland, WA 98034 2007-04-19
1164580809 Hand Therapy Northwest Inc Physical Therapist 16150 Ne 85th Street, Suite 116, Redmond, WA 98052 2006-12-05
1154302081 Michael James Poulos Physical Therapist 1611 Broadway, Bellingham, WA 98225-3039 2005-11-08
1639219868 Bainbridge Island Physical Therapy, LLC Physical Therapist 563 Madison Ave N, Bainbridge Island, WA 98110-1768 2007-02-07
1124003223 Phillip A Ruff Physical Therapist 200 Ne Mother Joseph Pl, Suite 110, Vancouver, WA 98664-3299 2005-12-12
1285615625 Deborah M Howard Physical Therapist 600 Broadway, Ste 440, Seattle, WA 98122 2005-11-11

Competitor

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City BELLEVUE
Zip Code 98004

Improve Information

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Dataset Information

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.

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