Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kenneth Lee Johnson, PT, OT

Individual provider Physical Therapist · NPI 1114175098

Mr. Kenneth Lee Johnson, PT, OT is a Physical Therapist in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

740 Saint Clair St
Detroit, MI 48214-3660
Phone: (313) 822-3464
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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 5501001186 (MI)
Occupational Therapist Taxonomy 225X00000X · Licence 5201003272 (MI)

Record details

NPI number1114175098
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , OT
Sole proprietorYes
NPI enumeratedSeptember 3, 2008
Last updated in NPPESSeptember 3, 2008

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