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

McKenna Johnson

Individual provider Physical Therapist · NPI 1104400985

McKenna Johnson is a Physical Therapist in Private Practice in Coudersport, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Rehabcare Group East, LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021

Practice location Address checks out

1001 E 2nd St
Coudersport, PA 16915-8161
Phone: (814) 274-9300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT028867 (PA)

Record details

NPI number1104400985
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2021
Last updated in NPPESMay 8, 2021
Certification dateApril 13, 2021
Mailing address11 Ransom Street, Port Allegany, PA 16743

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rehabcare Group East, Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coudersport