Individual
LISA M. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1451 2ND ST, SARASOTA, FL 34236-4905
(941) 525-8578
(941) 925-9027
Mailing address
5997 ANISE DR, SARASOTA, FL 34238-5145
(516) 456-3338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
013416-1
NY
225100000X
Physical Therapist
Primary
40QA02278300
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
40QA02278300
NJ
2251X0800X
Orthopedic Physical Therapist
PT 30836
FL
Other
Enumeration date
11/01/2006
Last updated
04/06/2026
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