Dominique Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02386300 Issued in NJ

Practice address

3 Myers Dr Ste 201
Mullica Hill, NJ 08062-9515

Phone

(856) 502-3300

Fax

(856) 294-9241

NPI assigned

Dec 3, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Strive Physical Therapy Specialists LLCGroup PAC ID 6709292535, 163 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Strive Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Moorestown, NJ
  • NPI 1023609955

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Strive Physical Therapy Specialists LLC

  • Durable Medical Equipment & Medical Supplies
  • Moorestown, NJ
  • NPI 1417745563
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1083577589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MYERS DR STE 201",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629515",
            "telephone_number": "856-502-3300",
            "fax_number": "856-294-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DOMINIQUE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-03",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02386300",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelcy A Jay, DO
• Jean S. Heisman
• Khady Diatou Jean
• Pearl Ann Jefferson, DO
• Kevin Johnsen, DO
• Jennifer Ann Jones, MA CCCSLP
• Venkatasai Jonna
• Harthik Kambhampati
• Marina Kristin Kanakos
• Karen Weiliang Kang, PHARMD

• Physical Therapist in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.