David Joseph Johnson, PT, DPT

Individual provider Active NPI Physical Therapist · Elk Rapids, MI

NPI 1134050362 · NPPES record last updated May 27, 2026

Key facts

NPI
1134050362
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5501304487 (MI)
Practice address
128 Ames St
Elk Rapids, MI 49629-9739
Phone
(231) 264-6682
NPI assigned
May 27, 2026
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Central Michigan College of Medicine, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Free Bed Rehabilitation Hospital (135 clinicians)

Practice addresses (Care Compare)

128 Ames St
Elk Rapids, MI 49629-9739
Phone (231) 264-6682

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260609000224 MI Practitioner - Physical Therapist in Private Practice 7517438765 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
5501304487MIMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501304487 MI Yes

Addresses

Primary practice location

128 Ames St
Elk Rapids, MI 49629-9739

Mailing address

128 Ames St
Elk Rapids, MI 49629-9739
Phone (231) 264-6682

Other practice location 1

1105 Sixth St
Traverse City, MI 49684-2300
Phone (231) 935-8604

Other providers in Elk Rapids, MI

All providers in Elk Rapids, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.