OrganizationActive
Johnson Dialysis Management, LLC
NPI 1417488909 · Physical Medicine & Rehabilitation Physician · Oak Park, MI
Provider details
- NPI number
- 1417488909
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shyrlwtta Johnson, Ceo(313) 447-4432
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21700 Greenfield Rd
Ste 215
Oak Park, MI 48237-2581
Phone: (313) 477-4432
Street-level locationGet directions
Mailing address
21700 Greenfield Rd
Oak Park, MI 48237-2581
Registry dates
- Enumerated
- 2017-03-25
- Last updated
- 2017-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.