JOCELYN RODRIGUEZ JOHNSON (P.T.) – Physical Therapist, NPI 1104937457

JOCELYN RODRIGUEZ JOHNSON (P.T.) is a healthcare provider. based in Pleasanton, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. PT27479 (CA). The NPI Number for JOCELYN RODRIGUEZ JOHNSON (P.T.) is 1104937457

Main info

Female
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
JOCELYN RODRIGUEZ JOHNSON (P.T.)
NPI
1104937457
Phone
(925) 621-2200
Address
6668 Owens Dr
Enumeration Date
31 August 2006
Last Update Date
7 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9253865657
Graduation Year
2002 (24 years ago)
PAC ID
7810094463
Group Practice PAC ID
0446146708
Professional Enrollment ID
I20070516000533
Address ID
CA945965068WA1651XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for JOCELYN RODRIGUEZ JOHNSON (P.T.)

  • 6668 Owens Dr

    Pleasanton, CA 945883334

    Phone: (925) 621-2200

    Fax: (925) 621-2201

    Type: Location

  • 6668, Owens Drive, Pleasanton, Alameda County, California, 94588, United States

    PLEASANTON, CA 945883334

    Phone: (925) 621-2200

    Fax: (925) 621-2201

    Type: Mailing

  • 625 KENMOOR AVE SE STE 100

    GRAND RAPIDS, MI 495462395

    Phone: (616) 356-5000

    Fax: (616) 356-5001

    Type: Mailing

  • 1651 BOTELHO DR STE 150

    WALNUT CREEK, CA 945965068

    Phone: (925) 386-5657

    Fax: (888) 461-7920

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070516000533IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes22762$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15549$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes14551$0
97530Therapy procedure using functional activities11043$0
97162Evaluation for physical therapy, typically 30 minutes2321$0
View full utilization report →

Insurance plans in this area (ZIP 94588)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446146708View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
-CA
Physical Therapist In Private PracticeNJ
-CA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is the standard ID for JOCELYN RODRIGUEZ JOHNSON (P.T.) in the U.S.?
In the U.S., JOCELYN RODRIGUEZ JOHNSON (P.T.) is identified by NPI 1104937457.
Is JOCELYN RODRIGUEZ JOHNSON (P.T.)'s NPI status active today?
Active status means JOCELYN RODRIGUEZ JOHNSON (P.T.)'s NPI record is not deactivated in the public file.
Which specialty label fits JOCELYN RODRIGUEZ JOHNSON (P.T.)?
NPPES ties JOCELYN RODRIGUEZ JOHNSON (P.T.) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is JOCELYN RODRIGUEZ JOHNSON (P.T.) tied to Pleasanton, California?
If you are local to Pleasanton, California, JOCELYN RODRIGUEZ JOHNSON (P.T.) may be relevant to your search.
Can I export JOCELYN RODRIGUEZ JOHNSON (P.T.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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