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

Mr. Brandon Johnson

Individual provider Physical Therapy Assistant · NPI 1477982882

Mr. Brandon Johnson is a Physical Therapy Assistant in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013

Practice location Address checks out

404 NW Hall Of Fame Dr
Lake City, FL 32055-4833
Phone: (385) 755-3164
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA24555 (FL)

Record details

NPI number1477982882
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 6, 2013
Last updated in NPPESNovember 6, 2013
Mailing address404 Nw Hall Of Fame Dr, Lake City, FL 32055-4833

Other providers in Lake City