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Craig Dennis Johnson, P.T

Physical Therapist in Lino Lakes, MN. Individual provider (NPI-1).

NPI number1811996754
StatusActive
Last updated in NPPESApr 1, 2008

Details

NPI
1811996754
Entity type
Individual (NPI-1)
Name
Mr. Craig Dennis Johnson
Credential
P.T
Sex
Male
Sole proprietor
No
Enumeration date
Jul 20, 2005
Last updated
Apr 1, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1974MNYes

Practice location

730 Apollo Dr
Suite 120
Lino Lakes, MN 55014-3037

Phone 651-784-7866 · Fax 651-784-7870

Mailing address

7581 9th St N
Suite 100
Oakdale, MN 55128-6626

Phone 651-748-4338 · Fax 651-748-2892

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapist providers in Lino Lakes, MN

All 13 Physical Therapist providers in Lino Lakes · All 181 providers in Lino Lakes

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