MEDICARE: AJ MICHAEL THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251S0007X	Sports Physical Therapist

General Provider Information

NPI Number	:	1811841208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AJ MICHAEL THERAPY

Provider Business Mailing Address
First Line	:	5701 KIAM ST UNIT B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-1141
Country	:	US
Telephone Number	:	225-218-3421
Fax Number	:	225-218-3421

Provider Business Practice Location Address
First Line	:	5701 KIAM ST UNIT B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-1141
Country	:	US
Telephone Number	:	225-218-3421
Fax Number	:	225-218-3421

Authorized Official
Title or Position	:	DOCTOR OF PHYSICAL THERAPY
Name	:	DR. ADAM JOHNSON
Credential	:	PT, DPT, LMT
Telephone Number	:	225-218-3421

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	02/24/2026

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