IndividualActive
Brad Johanson, DPT
NPI 1407289622 · Orthopedic Physical Therapist · Grand Rapids, MI
Provider details
- NPI number
- 1407289622
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 5501303790 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1331 Lake Dr Se Ste 105
Grand Rapids, MI 49506-1674
Phone: (616) 248-9842
Fax: (616) 248-9848
Approximate (ZIP-level) locationGet directions
Mailing address
1331 Lake Dr Se Ste 105
Grand Rapids, MI 49506-1674
Registry dates
- Enumerated
- 2013-08-12
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.