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

Noah Johnson, PT, DPT

Individual provider Physical Therapist · NPI 1225917909

Noah Johnson, PT, DPT is a Physical Therapist in Private Practice in Spring Lake, Michigan. Qualified in 2025, 1 year ago. Practices with Shoreline Sport and Spine PLLC, a 45-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

18000 Cove St Ste 202
Spring Lake, MI 49456
Phone: (616) 847-1280
Fax: (616) 847-1290
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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 5501304073 (MI)

Record details

NPI number1225917909
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 28, 2025
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address18000 Cove Street, Suite 202, Spring Lake, MI 49456

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Shoreline Sport And Spine Pllc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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