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

Dr. Brad A Johanson, DPT

Individual provider Orthopedic Physical Therapist · NPI 1407289622

Dr. Brad A Johanson, DPT is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Graduated from Emory University School of Medicine in 2013, 13 years ago. Practices with Good Life Therapy LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Trained at
Emory University School of Medicine
Licensed in
MI
In the registry since
2013
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1331 Lake Dr SE Ste 105
Grand Rapids, MI 49506-1674
Phone: (616) 248-9842
Fax: (616) 248-9848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 5501303790 (MI)

Record details

NPI number1407289622
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 12, 2013
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025
Mailing address1331 Lake Dr Se Ste 105, Grand Rapids, MI 49506-1674

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Good Life Therapy Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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