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

Amanda Irene Johnson, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285123828

Amanda Irene Johnson, DPM is a Podiatry in Grove City, Pennsylvania. Graduated from Kent State University College of Podiatric Medicine in 2018, 8 years ago. Practices with Keystone Rehabilitation Systems Inc, a 756-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Trained at
Kent State University College of Podiatric Medicine
Licensed in
PA
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

647 N Broad Street Ext Ste 204
Grove City, PA 16127-4604
Phone: (724) 458-6245
Fax: (724) 458-6244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence SC007161 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285123828
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 9, 2018
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024
Mailing addressPo Box 16008, Pittsburgh, PA 15242-0008

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Keystone Rehabilitation Systems Inc — 756 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grove City