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

Q: 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.

Q: What is Brad Johanson's specialty?

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

Q: When was this NPI record last updated?

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

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: August 16, 2026.

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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

Phone(616) 248-9842

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 3

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 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.

120 services14 patients

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.

115 services14 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.

103 services14 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.

STEPHANIE KAE OAKES MPT

Physical Therapist

1331 LAKE DR SE STE 105
GRAND RAPIDS, MI 49506

Kent County (616) 248-9842

KASSANDRA SARDAKOWSKI

Physical Therapist

1331 LAKE DR SE STE 105
GRAND RAPIDS, MI 49506

Kent County (616) 248-9848

DR. JASON COPELIN PT

Physical Therapist

1331 LAKE DR SE STE 105
GRAND RAPIDS, MI 49506

Kent County (269) 838-0369

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.