BLAIR JOHNSON PT
NPI 1538553797
Physical Therapist - Orthopedic in Mishawaka, IN
About Blair Johnson Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAIR JOHNSON PT (NPI 1538553797) is an individual orthopedic provider in Mishawaka, Indiana, licensed in Indiana (36000299A) and active in the NPI registry since March 2015. He maintains 4 additional practice locations and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Blair Johnson Pt 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.
Medicare Billing Reassignment
Medicare enrollment records show Blair Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Granger, IN 46530
- Reassigned Medicare billing, Indiana enrollment
- 42 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Blair Johnson's NPI number?
The NPI number for Blair Johnson is 1538553797. It was assigned to this individual provider in the NPPES registry on March 26, 2015.
Where is Blair Johnson located?
Blair Johnson practices at 202 Lincolnway E Ste 100, Mishawaka, IN 46544. The listed phone number is (574) 647-2560.
What is Blair Johnson's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Blair Johnson enrolled in Medicare?
Yes. Blair Johnson 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.
Which organization bills Medicare for Blair Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blair Johnson reassigns Medicare benefits to Beacon Health, LLC (Granger, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blair Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blair Johnson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Blair Johnson 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 Blair Johnson was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Blair Johnson, PT · NPI 1538553797
Orthopedic provider in Mishawaka, Indiana. Individual provider, active in the CMS NPPES registry since March 26, 2015.
## Identity
- **NPI:** 1538553797 (Entity type: Individual)
- **Enumerated:** March 26, 2015
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 36000299A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 202 LINCOLNWAY E STE 100, Mishawaka, IN 46544-2079
- **Phone:** (574) 647-2560 · **Fax:** (574) 647-2563
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Beacon Health, LLC (NPI 1386154821, Granger, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** March 20, 2026
- **Other identifiers:** Medicaid 201284010 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1538553797) · Data from the CMS NPPES public registry.