Mikayla Grace Johnson, DPT in Grand Rapids, MI - Medicare Physical Therapist Provider

Mikayla Grace Johnson, DPT is a medicare enrolled "Physical Therapist" provider in Grand Rapids, Michigan. Her current practice location is 150 Jefferson Ave Se Ste 100, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 577-8315.

Mikayla Grace Johnson is licensed to practice in Michigan (license number 5501303552) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013709195.

Contact Information

	Mikayla Grace Johnson, DPT
	150 Jefferson Ave Se Ste 100, Grand Rapids, MI 49503-4306
	(616) 577-8315
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mikayla Grace Johnson
Gender	Female
Speciality	Physical Therapist
Location	150 Jefferson Ave Se Ste 100, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013709195
Provider Enumeration Date: 05/22/2025
Last Update Date: 05/22/2025

Medicare PECOS Information:

PECOS PAC ID: 9931618337
Enrollment ID: I20250605001066

Medical Identifiers

Medical identifiers for Mikayla Grace Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013709195	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501303552 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mikayla Grace Johnson allows following entities to bill medicare on her behalf.

Provider Name	Advent Rehabilitation, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1780639658 PECOS PAC ID: 9537070545 Enrollment ID: O20210513002139

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. Mikayla Grace Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mikayla Grace Johnson, DPT 625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395 Ph: () -	Mikayla Grace Johnson, DPT 150 Jefferson Ave Se Ste 100, Grand Rapids, MI 49503-4306 Ph: (616) 577-8315

Reviews and Comments

Physical Therapist in Grand Rapids, MI

Ms. Silpa Parupalli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6252 Architrave St Se, Grand Rapids, MI 49546 Phone: 616-446-1374 Fax: 616-956-0059
Ryan Sanders Gary, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1331 Lake Dr Se, Suite 105, Grand Rapids, MI 49506 Phone: 616-248-9842 Fax: 616-248-9848
Samantha Michelle Flietstra, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2161 Leonard St Nw, Grand Rapids, MI 49504 Phone: 616-453-7715
Jennifer Lynne Taylor, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-262-0299
Katharine Lind Thompson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-6264
Dr. Lindsey Danielle Conrado, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 161-639-1177
Lauren Mallory, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Wealthy St Se, Grand Rapids, MI 49503 Phone: 616-840-8000

Mikayla Grace Johnson, DPT - Medicare Physical Therapist in Grand Rapids, MI