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

Benjamin Bradley Johnson

Individual provider Physical Therapist · NPI 1699379941

Benjamin Bradley Johnson is a Physical Therapist in Private Practice in Mt Pleasant, Wisconsin. Qualified in 2020, 6 years ago. Practices with Fox Rehabilitation Services Wi LLC, a 143-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
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Practice location Address checks out

6233 Bankers Rd Ste 12
Mt Pleasant, WI 53403-9700
Phone: (262) 771-0404
Fax: (844) 605-3317
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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 15022-24 (WI)

Record details

NPI number1699379941
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 27, 2020
Last updated in NPPESNovember 27, 2020
Certification dateNovember 27, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fox Rehabilitation Services Wi Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mt Pleasant