Individual provider · Type 1 NPI

Jumaah Ingram Johnson, DPT

Specialist · Philadelphia, PA

NPI number 1891764213 Active

Practice location

1616 Walnut St, Suite 210
Philadelphia, PA 19103-5313

Fax (215) 545-9355

Mailing address

420 Bainbridge St
Philadelphia, PA 19147-1568

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT017980 (PA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1891764213

Jumaah Ingram Johnson, DPT's National Provider Identifier is 1891764213, issued on Mar 16, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 13, 2026.