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

Dominique Johnson, PT

Individual provider Physical Therapist · NPI 1083577589

Dominique Johnson, PT is a Physical Therapist in Private Practice in Mullica Hill, New Jersey. Qualified in 2025, 1 year ago. Practices with Strive Physical Therapy Specialists, a 163-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
1
Licensed in
NJ, PA
In the registry since
2025
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3 Myers Dr Ste 201
Mullica Hill, NJ 08062-9515
Phone: (856) 502-3300
Fax: (856) 294-9241
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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 40QA02386300 (NJ)
Physical Therapist Taxonomy 225100000X · Licence PT033883 (PA)

Record details

NPI number1083577589
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 3, 2025
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Strive Physical Therapy Specialists — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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