IndividualActive
Adam Johnson, PT, CERT MDT
NPI 1457470478 · Physical Therapist · Urbana, IL
Provider details
- NPI number
- 1457470478
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, CERT MDT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
610 N Lincoln Ave
Urbana, IL 61801-2432
Phone: (217) 326-2911
Fax: (217) 344-8047
Approximate (ZIP-level) locationGet directions
Mailing address
611 W Park St
Urbana, IL 61801-2500
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.