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DR. BRAD A JOHANSON DPT NPI 1407289622


NPI Information

NPI: 1407289622
Provider Name: DR. BRAD A JOHANSON, DPT
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
2191 NORTHLAKE PKWY
BUILDING 11 SUITE 31
TUCKER, GA
ZIP 30084
Phone: (770) 491-6004
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DR. Brad A Johanson, DPT is an orthopedic physical therapist in Tucker, GA with 11 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. DR. Brad A Johanson, DPT NPI is 1407289622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

2191 NORTHLAKE PKWY
BUILDING 11 SUITE 31
TUCKER, GA
ZIP 30084-166
Phone: (770) 491-6004

The enumeration date for this NPI number is 8/12/2013 and was last updated on 10/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicPT011168GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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