Michael Seth Johnson

Key facts

NPI

1669345229

Entity type

Individual (NPI type 1)

Primary specialty

Geriatric Physical Therapist 2251G0304X

License

PT-012632 (GA)

Practice address

1890 O Shea LN
Marietta, GA 30062-5438

Phone

(404) 548-4452

NPI assigned

Sep 29, 2025

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Legacy Healthcare Services, Inc. Physical Therapist · Dawsonville, GA · NPI 1528419751
  Medicare reassignment NPD GA · GERIATRICS
• Legacy Healthcare Services, Inc. Physical Therapist · Winder, GA · NPI 1831619337
  Medicare reassignment NPD GA · GERIATRICS
• Legacy Healthcare Services Inc Physical Therapist · Cary, NC · NPI 1225879489
  NPD

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services Inc (3,431 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 29, 2025.

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1669345229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 O SHEA LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 O SHEA LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625438",
            "telephone_number": "404-548-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "SETH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "GA",
            "license": "PT-012632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

• Laurie Anne Johnson, OTR/L, CHT
• Lonnie Johnson
• Mariah Johnson, RN
• Martin Johnson, PA
• Michael Johnson, SA-C
• Molly Willison Johnson, DMD
• Nicholas D Johnson, D.M.D.
• Nicole Heather Johnson
• Opal Johnson, RBT
• Paige Johnson

All providers in Marietta, GA · Geriatric Physical Therapist in Georgia