Individual provider · Type 1 NPI

Bergan Jayde Johnsen, PTA

Physical Therapy Assistant · Council Bluffs, IA

NPI number 1740950146 Active

Practice location

3000 Risen Son Blvd
Council Bluffs, IA 51503-1911

Call (712) 366-9655 Map

Mailing address

2396 Sharon Ave
Logan, IA 51546-5028

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X110375 (IA)

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 1740950146

Bergan Jayde Johnsen, PTA's National Provider Identifier is 1740950146, issued on Sep 16, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Council Bluffs, IA. The record was last updated on Sep 16, 2021.