Individual provider · Type 1 NPI

Jade Johnson, PTA

Physical Therapy Assistant · Winter Haven, FL

NPI number 1962058008 Active

Practice location

3050 Woodmont Ave
Winter Haven, FL 33884-3800

Call (727) 803-1102 Map

Mailing address

260 1st Ave S Ste 200
St. Petersburg, FL 33701-4364

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA29010 (FL)

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 1962058008

Jade Johnson, PTA's National Provider Identifier is 1962058008, issued on Aug 14, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Winter Haven, FL. The record was last updated on Aug 14, 2019.