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

Mia Nichole Johnson

Individual provider Physical Therapist · NPI 1972465268

Mia Nichole Johnson is a Physical Therapist in Lafayette, Louisiana. Licensed in Louisiana. Registered with an NPI since 2025.

Licensed in
LA
In the registry since
2025

Practice location Address checks out

300 Rue Beauregard
Lafayette, LA 70508-8511
Phone: (337) 261-9188
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 02689 (LA)

Record details

NPI number1972465268
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 13, 2025

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