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

Blair Johnson, PT

Individual provider Orthopedic Physical Therapist · NPI 1538553797

Blair Johnson, PT is a Physical Therapist in Private Practice in Mishawaka, Indiana. Qualified in 1986, 40 years ago. Practices with Beacon Health LLC, a 32-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
40
Licensed in
IN
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

202 Lincolnway E Ste 100
Mishawaka, IN 46544-2079
Phone: (574) 647-2560
Fax: (574) 647-2563
Show map & directions

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

Additional practice locations (4)

  • 200 E Jackson Blvd Ste 150, Elkhart, IN 46516-3513 — (574) 389-5558
  • 3221 Beacon Pkwy Ste 100, Granger, IN 46530-7196 — (574) 647-2930
  • 900 I St Ste 100, La Porte, IN 46350-5533 — (219) 324-1730
  • 1815 E Ireland Rd Ste 100, South Bend, IN 46614-2845 — (574) 647-5790

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 36000299A (IN)

Record details

NPI number1538553797
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 26, 2015
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Beacon Health Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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