MRS. LISA GRACE JOHNSON P.T.
NPI 1184901480
Physical Therapist in Kankakee, IL

Active since November 15, 2011
1601 BUTTERFIELD TRAIL, KANKAKEE, IL 60901(815) 936-6500(971) 206-5203 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa Grace Johnson P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA GRACE JOHNSON P.T. (NPI 1184901480) is an individual physical therapist in Kankakee, Illinois, licensed in Illinois (070012040) and active in the NPI registry since November 2011. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1184901480
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. LISA GRACE JOHNSONCredential: P.T.
Location Address1601 BUTTERFIELD TRAILKankakee, IL 60901
Mailing Address4560 Se International Way, Ste. 100Milwaukie, OR 97222 · (971) 206-5200 · Fax (971) 206-5203
Fax(971) 206-5203
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 15, 2011
NPI 1184901480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in IL · 070012040
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1601 BUTTERFIELD TRAIL, Kankakee, IL 60901

Other Names 1

Former Name (1)Lisa Grace Hjalmarson P.t.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Lisa Grace Johnson P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315414885
PECOS Enrollment IDI20260422001992

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
1601 BUTTERFIELD TRAIL
KANKAKEE, IL 60901
Physical Therapist
1601 BUTTERFIELD TRAIL
KANKAKEE, IL 60901
Physical Therapy Assistant
1601 BUTTERFIELD TRAIL
KANKAKEE, IL 60901
Physical Therapy Assistant
1601 BUTTERFIELD TRAIL
KANKAKEE, IL 60901
Physical Therapy Assistant
1601 BUTTERFIELD TRAIL
KANKAKEE, IL 60901
Physical Therapy Assistant
1601 BUTTERFIELD TRAIL
KANKAKEE, IL 60901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Johnson's NPI number?

The NPI number for Lisa Johnson is 1184901480. It was assigned to this individual provider in the NPPES registry on November 15, 2011. The provider is also known as Lisa Grace Hjalmarson P.T..

Where is Lisa Johnson located?

Lisa Johnson practices at 1601 Butterfield Trail, Kankakee, IL 60901. The listed phone number is (815) 936-6500.

What is Lisa Johnson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Lisa Johnson enrolled in Medicare?

Yes. Lisa Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Johnson was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.