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

Mr. Douglas Edward Johnson, PT

Individual provider Physical Therapist · NPI 1508905357

Mr. Douglas Edward Johnson, PT is a Physical Therapist in Private Practice in Clinton Twp, Michigan. Graduated from Wayne State University School of Medicine in 2004, 22 years ago. Practices with Foundation Manual Physical Therapy and Performance PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2007
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

18791 15 Mile Rd
Clinton Twp, MI 48035-2503
Phone: (586) 790-2326
Fax: (586) 790-2476
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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 5501012060 (MI)

Record details

NPI number1508905357
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESAugust 25, 2008
Mailing address18791 15 Mile Rd, Clinton Twp, MI 48035-2503

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Foundation Manual Physical Therapy And Performance Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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