Brent Johnson, PTA

Contractor · Chesapeake, VA

Individual Active NPI

NPI number 1306233283

Practice location

404 Cayland Ct
Chesapeake, VA 23322-3624
Phone
(757) 482-4013

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NPI record

NPI
1306233283
Entity type
Individual (Type 1)
Enumeration date
April 18, 2015
Last updated
January 28, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X PTA 23821 FL

About Brent Johnson

Brent Johnson, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 404 Cayland Ct, Chesapeake, VA 23322-3624. The NPI number 1306233283 was assigned on April 18, 2015 and the record was last updated on January 28, 2016.

Brent Johnson lists a license in the registry: #PTA 23821 (FL) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brent Johnson, PTA?

The NPI number is 1306233283.

What is the phone number of Brent Johnson?

The phone number listed for the practice location is (757) 482-4013.

Where is Brent Johnson located?

404 Cayland Ct, Chesapeake, VA 23322-3624.

What is the taxonomy code for Brent Johnson?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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