Mr Kenneth Lee Johnson, PT,OT - Physical Therapist in Detroit, MI

Mr Kenneth Lee Johnson, PT,OT is a Physical Therapist based in Detroit, Michigan. Mr Kenneth Lee Johnson is licensed to practice in Michigan (license number 5501001186) and his current practice location is 740 Saint Clair St, Detroit, Michigan. He can be reached at his office (for appointments etc.) via phone at (313) 822-3464.

NPI number for Mr Kenneth Lee Johnson is 1114175098 and his current mailing address is Po Box 48066, Oak Park, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114175098.

Contact Information

Mr Kenneth Lee Johnson, PT,OT
740 Saint Clair St,
Detroit, MI 48214-3660
(313) 822-3464
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Kenneth Lee Johnson
GenderMale
SpecialityPhysical Therapist
Location740 Saint Clair St, Detroit, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114175098
  • Provider Enumeration Date: 09/03/2008
  • Last Update Date: 09/03/2008

Medical Identifiers

Medical identifiers for Mr Kenneth Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114175098NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 5501001186 (Michigan)Primary
225X00000XOccupational Therapist 5201003272 (Michigan)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Lee Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kenneth Lee Johnson, PT,OT
Po Box 48066,
Oak Park, MI 48237-5766

Ph: (313) 822-3464
Mr Kenneth Lee Johnson, PT,OT
740 Saint Clair St,
Detroit, MI 48214-3660

Ph: (313) 822-3464

Reviews and Comments


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