IndividualActive
Blair Johnson, PT
NPI 1538553797 · Orthopedic Physical Therapist · Mishawaka, IN
Provider details
- NPI number
- 1538553797
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 36000299A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
202 Lincolnway E Ste 100
Mishawaka, IN 46544-2079
Phone: (574) 647-2560
Fax: (574) 647-2563
Street-level locationGet directions
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Additional practice locations (4)
- 200 E Jackson Blvd Ste 150Elkhart, IN 46516-3513Phone: (574) 389-5558Fax: (574) 389-5559
- 3221 Beacon Pkwy Ste 100Granger, IN 46530-7196Phone: (574) 647-2930Fax: (574) 647-2935
- 900 I St Ste 100La Porte, IN 46350-5533Phone: (219) 324-1730Fax: (219) 324-1735
- 1815 E Ireland Rd Ste 100South Bend, IN 46614-2845Phone: (574) 647-5790Fax: (574) 647-5792
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2026-03-20
- Certified
- 2026-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.