NPI 1013807106

Trevor Scott Johnson

Practitioner Physical Therapist Myrtle Beach, SC

Practice location

Address: 210 Village Center Blvd STE 200, Myrtle Beach, SC 29579-6706
Phone: (843) 712-7023
Mailing address: 4701 Redbud Dr, Denton, TX 76208-6845

Registered specialties (4)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT44220 (FL)

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Registry record

NPI: 1013807106
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2025
Record last updated: 22 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.