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

Matthew Johnson, PT

Individual provider Physical Therapist · NPI 1417495912

Matthew Johnson, PT is a Physical Therapist in Detroit Lakes, Minnesota. Licensed in Minnesota. Registered with an NPI since 2017.

Licensed in
MN
In the registry since
2017
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

1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone: (218) 847-5611
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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 6225 (MN)

Record details

NPI number1417495912
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 3, 2017
Last updated in NPPESFebruary 3, 2017
Mailing addressPo Box 6001, Fargo, ND 58108-6001

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