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

Benjamin Bradley Johnson

Individual provider Physical Therapist · NPI 1699379941

Benjamin Bradley Johnson is a Physical Therapist in Private Practice in Mt Pleasant, Wisconsin. Qualified in 2020, 6 years ago. Practices with Fox Rehabilitation Services Wi LLC, a 143-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
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Practice location Address checks out

6233 Bankers Rd Ste 12
Mt Pleasant, WI 53403-9700
Phone: (262) 771-0404
Fax: (844) 605-3317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15022-24 (WI)

Record details

NPI number1699379941
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 27, 2020
Last updated in NPPESNovember 27, 2020
Certification dateNovember 27, 2020
Mailing address352a E Rosedale Ave, Milwaukee, WI 53207-2068

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fox Rehabilitation Services Wi Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mt Pleasant