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BLAIR JOHNSON PT
NPI 1538553797
Physical Therapist - Orthopedic in Mishawaka, IN

Active since March 26, 2015Accepts Medicare Assignment
202 LINCOLNWAY E STE 100, MISHAWAKA, IN 46544(574) 647-2560(574) 647-2563 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2026, Mar 31, 2021, Feb 14, 2018 and 1 more (4 updates tracked since 2016).

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

NPI1538553797
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameBLAIR JOHNSONCredential: PT
Location Address202 LINCOLNWAY E STE 100Mishawaka, IN 46544-2079
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-3725
Phone(574) 647-2560
Fax(574) 647-2563
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMarch 26, 2015
Last NPPES UpdateMarch 20, 20264 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1538553797 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 IN · 36000299A
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.
202 LINCOLNWAY E STE 100, Mishawaka, IN 46544
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Secondary Practice Locations 4

Location 13221 Beacon Pkwy Ste 100Granger, IN 46530-7196 · Phone (574) 647-2930 · Fax (574) 647-2935
Location 21815 E Ireland Rd Ste 100South Bend, IN 46614-2845 · Phone (574) 647-5790 · Fax (574) 647-5792
Location 3200 E Jackson Blvd Ste 150Elkhart, IN 46516-3513 · Phone (574) 389-5558 · Fax (574) 389-5559
Location 4900 I St Ste 100LA Porte, IN 46350-5533 · Phone (219) 324-1730 · Fax (219) 324-1735

Other Identifiers 1

Medicaid201284010IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

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.

PECOS PAC ID3870812746
PECOS Enrollment IDI20150428001460

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.

EDUARDO CAMPOS-HERNANDEZ PT
Physical Therapist
202 LINCOLNWAY E STE 100
MISHAWAKA, IN 46544
St. Joseph County (574) 647-2560
JASMINE HENRY
Physical Therapist
202 LINCOLNWAY E STE 100
MISHAWAKA, IN 46544
St. Joseph County (574) 647-2560
DR. KYLE SHELTON DPT
Physical Therapist
202 LINCOLNWAY E STE 100
MISHAWAKA, IN 46544
St. Joseph County (574) 647-2560
ERIN OSBURN PT
Physical Therapist
202 LINCOLNWAY E STE 100
MISHAWAKA, IN 46544
St. Joseph County (574) 647-2560
SARAH HOSINSKI PT
Physical Therapist
202 LINCOLNWAY E STE 100
MISHAWAKA, IN 46544
St. Joseph County (574) 647-2560
KATELYN LINDEN
Physical Therapist
202 LINCOLNWAY E STE 100
MISHAWAKA, IN 46544
St. Joseph County (574) 647-2560

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.

What insurance does Blair Johnson accept?

Health plans from 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 5 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.