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

Dr. Kyle Johnson, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1275824419

Dr. Kyle Johnson, DPM is a Podiatry in Palm Harbor, Florida. Qualified in 2011, 15 years ago. Practices with Tidewater Foot and Ankle Associates, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Connecticut and Florida.

Years since qualifying
15
Licensed in
CT, FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4168 Woodlands Pkwy Ste B
Palm Harbor, FL 34685-3496
Phone: (813) 925-9431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence PO3645 (FL)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence N/A (CT)

Record details

NPI number1275824419
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 21, 2011
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address4168 Woodlands Pkwy Ste B, Palm Harbor, FL 34685-3496

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Tidewater Foot And Ankle Associates, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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