Landrie Michele Johansen, PT, MPT
Landrie Michele Johansen, PT, MPT is registered under Physical Therapist in Private Practice in Fort Worth, Texas. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 16
- Licensed in
- TX
- In the registry since
- 2011
What do these letters mean?
Practice location Address checks out
1100 Bridgewood Dr Ste 102Fort Worth, TX 76112-0808
Phone: (855) 339-6378
Fax: (855) 329-6978
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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 1212126 (TX) |
|---|
Record details
| NPI number | 1144507245 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PT , MPT |
| Sole proprietor | No |
| NPI enumerated | November 3, 2011 |
| Last updated in NPPES | May 18, 2024 |
| Certification date | May 18, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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