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

Clark Johnson

Individual provider Physical Therapist · NPI 1407124910

Clark Johnson is a Physical Therapist in Private Practice in Logan, Utah. Qualified in 2010, 16 years ago. Practices with Atlas Medical Utah LLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, California, Massachusetts and Oregon and 1 more.

Years since qualifying
16
Licensed in
AZ, CA, MA, OR, UT
In the registry since
2011
Specialties on file
5
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Practice location Address checks out

258 S Main St Ste 210
Logan, UT 84321-5768
Phone: (435) 383-6120
Fax: (435) 557-8003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 990 Medical Dr Ste U4, Brigham City, UT 84302-4714 — (435) 383-6120

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8030412-2401 (UT)
Physical Therapist Taxonomy 225100000X · Licence 9307 (AZ)
Physical Therapist Taxonomy 225100000X · Licence 38312 (CA)
Physical Therapist Taxonomy 225100000X · Licence 06226 (OR)
Physical Therapist Taxonomy 225100000X · Licence 19237 (MA)

Record details

NPI number1407124910
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 12, 2011
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Atlas Medical Utah Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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