Douglas Edward Johnson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012060 Issued in MI

Practice address

18791 15 Mile Rd
Clinton TWP, MI 48035-2503

Phone

(586) 790-2326

Fax

(586) 790-2476

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Wayne State University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foundation Manual Physical Therapy and Performance PLLCGroup PAC ID 1153719729, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Foundation Manual Physical Therapy and Performance PLLC

  • Physical Therapy Clinic/Center
  • Royal Oak, MI
  • NPI 1790453322

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Foundation Manual Physical Therapy and Performance

  • Physical Therapy Clinic/Center
  • Grosse Pointe Woods, MI
  • NPI 1659952711
  NPD Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1508905357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18791 15 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352503",
            "telephone_number": "586-790-2326",
            "fax_number": "586-790-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18791 15 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352503",
            "telephone_number": "586-790-2326",
            "fax_number": "586-790-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Renee Jennings, PA-C
• Tamika Jennings
• Kimberly Ann Jeroue, OTR/L
• John a. Dobry DDS LLC
• Andrea Marie Johnson, LLBSW
• James Edward Johnson, D.O.
• Suzanne Johnson, LMSW
• William H Johnson, CRNA
• Daren M Jones, MA LPC
• Elizabeth Jones, RN

• Physical Therapist in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.