DR. BRAD A JOHANSON DPT
NPI 1407289622
Physical Therapist - Orthopedic in Grand Rapids, MI

Active since August 12, 2013Accepts Medicare Assignment
1331 LAKE DR SE STE 105, GRAND RAPIDS, MI 49506(616) 248-9842(616) 248-9848 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brad A Johanson Dpt NPPES

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

DR. BRAD A JOHANSON DPT (NPI 1407289622) is an individual orthopedic provider in Grand Rapids, Michigan, licensed in Michigan (5501303790) and active in the NPI registry since August 2013. He is a graduate of Emory University School Of Medicine (2013).

NPPES Registry Identity

NPI1407289622
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. BRAD A JOHANSONCredential: DPT
Location Address1331 LAKE DR SE STE 105Grand Rapids, MI 49506-1674
Mailing Address1331 Lake Dr Se Ste 105Grand Rapids, MI 49506-1674 · (616) 248-9842 · Fax (616) 248-9848
Fax(616) 248-9848
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2013
Enumeration DateAugust 12, 2013
Last NPPES UpdateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
NPI 1407289622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in MI · 5501303790
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

1331 LAKE DR SE STE 105, Grand Rapids, MI 49506

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Brad A Johanson Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284868993
PECOS Enrollment IDI20180124001320

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
164 services21 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
132 services17 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
127 services18 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
86 services12 patients

Other Providers at the Same Location NPPES 3

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

Physical Therapist
1331 LAKE DR SE STE 105
GRAND RAPIDS, MI 49506
Physical Therapist
1331 LAKE DR SE STE 105
GRAND RAPIDS, MI 49506
Physical Therapist
1331 LAKE DR SE STE 105
GRAND RAPIDS, MI 49506

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 Brad Johanson's NPI number?

The NPI number for Brad Johanson is 1407289622. It was assigned to this individual provider in the NPPES registry on August 12, 2013.

Where is Brad Johanson located?

Brad Johanson practices at 1331 Lake Dr SE Ste 105, Grand Rapids, MI 49506. The listed phone number is (616) 248-9842.

What is Brad Johanson's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Brad Johanson enrolled in Medicare?

Yes. Brad Johanson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brad Johanson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Brad Johanson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brad Johanson was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.