Individual provider Active NPI

Lynn Brandon Johnson, PT

  • Physical Therapist
  • Northport, AL
National Provider Identifier
1619919818
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH294 Issued in AL
Practice address
3835 Watermelon Rd
Ste E
Northport, AL 35473-5143
Phone
(205) 759-2211
Fax
(205) 759-2213
NPI assigned
Jun 12, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH294 AL Primary

Addresses

Primary practice location

3835 Watermelon Rd
Ste E
Northport, AL 35473-5143

Mailing address

129 Covey Chase
Tuscaloosa, AL 35406-1801
Phone (205) 345-0650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH294ALMDPhysical Therapist
294ALMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscaloosa Rehabilitation and Hand Center, Inc Physical Therapist PastSince Aug 1, 2019 Accepting new patients
Tuscaloosa Physical Therapy Center, Incorporated Physical Therapist PastSince Apr 27, 1994 Accepting new patients
Williams Medical Services, LLC PastSince May 1, 2022 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619919818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 COVEY CHASE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061801",
            "telephone_number": "205-345-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 WATERMELON RD",
            "address_2": "STE E",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735143",
            "telephone_number": "205-759-2211",
            "fax_number": "205-759-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LYNN",
        "middle_name": "BRANDON",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.