Active NPIIndividual provider

Dominique Johnson, PT

Physical Therapist in Mullica Hill, New Jersey

NPI Number1083577589
Practice location
3 Myers Dr Ste 201, Mullica Hill, NJ 08062-9515
Fax
856-294-9241
Last updated
February 23, 2026

Dominique Johnson is a Physical Therapist based in Mullica Hill, NJ. Dominique Johnson practices in Mullica Hill, NJ and has the professional credentials of PT. The NPI Number for Dominique Johnson is 1083577589 and holds a License No. 40QA02386300 (NJ). The current practice location address for Dominique Johnson is 3 Myers Dr Ste 201, Mullica Hill, NJ 08062-9515 and can be reached out via phone at 856-502-3300 and via fax at 856-294-9241.

Provider Profile Details

NPI Number
1083577589
Provider Name
Dominique Johnson
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
3 Myers Dr Ste 201, Mullica Hill, NJ 08062-9515
Phone Number
856-502-3300
Fax Number
856-294-9241
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
December 3, 2025
Last Update Date
February 23, 2026
Certification Date
February 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Myers Dr Ste 201
Mullica Hill, NJ 08062-9515
Zip
08062-9515
Phone Number
856-502-3300
Fax Number
856-294-9241
Mullica Hill, NJ 08062Get directions →

Provider Business Mailing Address Details

Address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
City
Louisville
State
KY
Zip
40223-5005

License Information

License Number (1)
40QA02386300
License State (1)
NJ
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
PT033883
License State (2)
PA
Taxonomy (2)
Physical Therapist · 225100000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dominique Johnson, PT?

The NPI number of Dominique Johnson, PT is 1083577589. It was assigned on December 3, 2025 and is currently active in the NPPES registry.

What is the specialty of Dominique Johnson, PT?

Dominique Johnson, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02386300.

Where does Dominique Johnson, PT practice?

The practice location is 3 Myers Dr Ste 201, Mullica Hill, NJ 08062-9515. The office can be reached at 856-502-3300 (phone) or 856-294-9241 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083577589 directly on the NPPES registry website.

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