Individual provider · Type 1 NPI

Susan Johnson, PTA

Physical Therapy Assistant · Durham, NC

NPI number 1417152109 Active

Practice location

3420 Holloway St
Durham, NC 27703-3522

Mailing address

220 Cherrylaurel Dr
Youngsville, NC 27596-7133

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X04155 (OH)
Physical Therapy Assistant 225200000X5240 (NC)

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 1417152109

Susan Johnson, PTA's National Provider Identifier is 1417152109, issued on Jun 20, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Durham, NC. The record was last updated on Sep 28, 2015.