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

Mrs. Lisa Grace Johnson, PT

Individual provider Physical Therapist · NPI 1184901480

Mrs. Lisa Grace Johnson, PT is a Physical Therapist in Private Practice in Kankakee, Illinois. Qualified in 2000, 26 years ago. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2011
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

1601 Butterfield Trl
Kankakee, IL 60901
Phone: (815) 936-6500
Fax: (971) 206-5203
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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 070012040 (IL)

Record details

NPI number1184901480
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 15, 2011
Last updated in NPPESNovember 15, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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