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Mr. Clyde W Johnson

Physical Therapist Hand

1200 112th Ave Ne Ste C260
Bellevue , Washington 98004

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Mr. Clyde W Johnson

Physical Therapist Hand

1200 112th Ave Ne Ste C260
Bellevue , Washington 98004

(425) 462-5019

Write a Review Save Call

Mr. Clyde W Johnson

Physical Therapist Hand

1200 112th Ave Ne Ste C260
Bellevue , Washington 98004

(425) 462-5019 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Therapist
  • Hand

Languages spoken

  • English

Location

1200 112th Ave Ne Ste C260 Bellevue , Washington 98004

First Address

  • Mr. Clyde W Johnson
  • 510 8th Ave Ne Ste 320
  • Issaquah, WA
  • Zip : 98029-5436
  • Fax : (425) 462-5019
  • Phone : (425) 462-5006

Second Address

  • Mr. Clyde W Johnson
  • 1200 112th Ave Ne Ste C260
  • Bellevue, WA
  • Zip : 98004
  • Fax : (425) 462-5019
  • Phone : (425) 462-5006

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FAQs


Where did Mr. Clyde W Johnson attend graduate school?

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Where did Mr. Clyde W Johnson do his residency?

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Where did Mr. Clyde W Johnson do his fellowship?

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Is Mr. Clyde W Johnson board certified?

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What type of doctor is Mr. Clyde W Johnson

Hand

In what state does Mr. Clyde W Johnson practice in?

Washington

Where is Mr. Clyde W Johnson ’s practice located?

1200 112th Ave Ne Ste C260 , Bellevue, Washington, 98004

What is Mr. Clyde W Johnson ’s gender?

Male

Is Mr. Clyde W Johnson a sole practitioner?

No

Is Mr. Clyde W Johnson accepting new patients?

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What languages does Mr. Clyde W Johnson speak?

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Does Mr. Clyde W Johnson accept insurance?

Yes, Mr. Clyde W Johnson accepts insurance

Does Mr. Clyde W Johnson offers telemedicine?

Mr. Clyde W Johnson has not indicated if he offers telemedicine

What is Mr. Clyde W Johnson ’s professional license number?

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What is Mr. Clyde W Johnson ’s NPI number?

1962579375

Does Mr. Clyde W Johnson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 225100000X Physical Therapist PT00005729 WA
Y 2251H1200X Hand PT00005729 WA

National Provider Identifier

NPI 1962579375
Provider Name Mr. Clyde W Johnson
First Address Issaquah, WA 98029-5436
Second Address Bellevue, WA 98004
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 29/11/2006
Last Update Date 12/09/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1023366 (05) WA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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