Individual provider · Type 1 NPI

Mario Ladale Johnson

Physical Therapy Assistant · Houston, TX

NPI number 1790696185 Active

Practice location

2002 Holcombe Blvd
Houston, TX 77030-4211

Call (713) 791-1414 Map

Mailing address

907 Butterfly Ln
Rosenberg, TX 77469-4871

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2107267 (TX)

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 1790696185

Mario Ladale Johnson's National Provider Identifier is 1790696185, issued on Sep 15, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Houston, TX. The record was last updated on Sep 15, 2026.