Fred Kendall Johnson, DPT
Fred Kendall Johnson, DPT is a Physical Therapist in Private Practice in Tyndall AFB, Florida. Qualified in 2007, 19 years ago. Practices with Premier Physical Therapy Sport Medicine Inc, a 37-clinician group and accepts Medicare assignment. Licensed in Florida and New York.
- Years since qualifying
- 19
- Licensed in
- FL, NY
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- DPT — Doctor of Physical Therapy
- The doctoral degree now required to enter physical therapy practice.
Practice location Address checks out
325 Mdg 340 Magnolia CirTyndall AFB, FL 32403
Phone: (850) 283-7019
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT25177 (FL) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 029708 (NY) |
Record details
| NPI number | 1689826554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPT |
| Sole proprietor | No |
| NPI enumerated | October 22, 2008 |
| Last updated in NPPES | July 22, 2021 |
| Certification date | July 22, 2021 |
| Mailing address | 359 Se 7th St, Dania Beach, FL 33004-4403 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Premier Physical Therapy Sport Medicine Inc — 37 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Tyndall AFB
-
Zachary Cabana, DPT
340 Magnolia Cir, Tyndall AFB, FL 32403-5604 · (111) 111-1111
-
Michael R Staklinski, DPT
340 Magnolia Cir Bldg 1465, Tyndall AFB, FL 32403-5604 · (850) 283-7019
-
Sean Alan Wilson, PT
325 Mdg 340 Magnolia Cir, Tyndall AFB, FL 32403-5604 · (336) 598-2472