Landrie Michele Johansen, PT, MPT
Landrie Michele Johansen, PT, MPT is a Physical Therapist in Private Practice in Fort Worth, Texas. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 16
- Licensed in
- TX
- In the registry since
- 2011
What do these letters mean?
Practice location Address checks out
1100 Bridgewood Dr Ste 102Fort Worth, TX 76112-0808
Phone: (855) 339-6378
Fax: (855) 329-6978
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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 1212126 (TX) |
|---|
Record details
| NPI number | 1144507245 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PT , MPT |
| Sole proprietor | No |
| NPI enumerated | November 3, 2011 |
| Last updated in NPPES | May 18, 2024 |
| Certification date | May 18, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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