Individual provider · Type 1 NPI

Shannon Elizabeth Johnson, PTA

Physical Therapy Assistant · Mequon, WI

NPI number 1255858890 Active

Practice location

12600 N Port Washington Rd
Mequon, WI 53092-3469

Call (262) 387-8800 Map

Mailing address

4151 N Prospect Ave
Shorewood, WI 53211-1741

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2622-19 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1255858890

Shannon Elizabeth Johnson, PTA's National Provider Identifier is 1255858890, issued on Aug 24, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Mequon, WI. The record was last updated on Dec 13, 2021.