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

Denzel Jamar Johnson, PTA

Individual provider Physical Therapy Assistant · NPI 1518533470

Denzel Jamar Johnson, PTA is a Physical Therapy Assistant in Grand Blanc, Michigan. Licensed in Georgia and Michigan. Registered with an NPI since 2021.

Licensed in
GA, MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

15311 Thornridge Dr
Grand Blanc, MI 48439-9203
Phone: (810) 620-3507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA004661 (GA)
Physical Therapy Assistant Taxonomy 225200000X · Licence 5502006331 (MI)

Record details

NPI number1518533470
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 1, 2021
Certification dateMay 31, 2021
Mailing address15311 Thornridge Dr, Grand Blanc, MI 48439-9203

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