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

Individual provider Physical Therapist · NPI 1558687640

Michael Lewis Johnson, MSPT is a Physical Therapist in Private Practice in Benton, Arkansas. Qualified in 1998, 28 years ago. Practices with Pro Active Rehab, Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
28
Licensed in
AR
In the registry since
2010
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Practice location Address checks out

1308 Military Rd
Benton, AR 72015-2911
Phone: (501) 778-4960
Fax: (501) 778-4968
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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 2275 (AR)

Record details

NPI number1558687640
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedApril 14, 2010
Last updated in NPPESFebruary 6, 2013
Mailing addressPo Box 1890, Benton, AR 72018-1890

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Pro Active Rehab, Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Benton