Individual provider · Type 1 NPI

Wayne Michael Johnson, PTA, CCI

Physical Therapy Assistant · Fort Drum, NY

NPI number 1720096241 Active

Practice location

11050 Mt Belvedere Blvd, Usa Meddac /credentials
Fort Drum, NY 13602-5004

Call (315) 772-4025 Map

Fax (315) 772-9498

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X004281 (NY)

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 1720096241

Wayne Michael Johnson, PTA, CCI's National Provider Identifier is 1720096241, issued on Aug 3, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Drum, NY. The record was last updated on Jul 8, 2007.