Jade Johnson, PTA

Physical Therapy Assistant · Winter Haven, FL

Individual Active NPI

NPI number 1962058008

Practice location

3050 Woodmont Ave
Winter Haven, FL 33884-3800
Phone
(727) 803-1102

Open in Google Maps

NPI record

NPI
1962058008
Entity type
Individual (Type 1)
Enumeration date
August 14, 2019
Last updated
August 14, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA29010 FL

Mailing address

260 1st Ave S Ste 200
Saint Petersburg, FL 33701-4364
Phone
(727) 803-1102

About Jade Johnson

Jade Johnson, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 3050 Woodmont Ave, Winter Haven, FL 33884-3800. The NPI number 1962058008 was assigned on August 14, 2019 and the record was last updated on August 14, 2019.

Jade Johnson lists a license in the registry: #PTA29010 (FL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jade Johnson, PTA?

The NPI number is 1962058008.

What is the phone number of Jade Johnson?

The phone number listed for the practice location is (727) 803-1102.

Where is Jade Johnson located?

3050 Woodmont Ave, Winter Haven, FL 33884-3800.

What is the taxonomy code for Jade Johnson?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

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.

Other Physical Therapy Assistant providers in Winter Haven

All Physical Therapy Assistant providers in Winter Haven, FL →