Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Blackham Johnson, DPT

Individual provider Physical Therapist · NPI 1285292862

Alicia Blackham Johnson, DPT is a Physical Therapist in Private Practice in Williamsburg, Virginia. Qualified in 2018, 8 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4125 Ironbound Rd Ste 101
Williamsburg, VA 23188-2666
Phone: (757) 220-8383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5388 Discovery Park Blvd Ste 100, Williamsburg, VA 23188-8218 — (757) 903-4230
  • 201 Bulifants Blvd Ste B, Williamsburg, VA 23188-5731 — (757) 229-9740

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305212681 (VA)

Record details

NPI number1285292862
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 30, 2019
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Williamsburg