Sarah Marie Johnson, P.T.A.
Individual provider Active NPI Physical Therapy Assistant · Clinton, IN
NPI 1023347374 · NPPES record last updated Dec 16, 2009
Key facts
- NPI
- 1023347374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 06003867A (IN)
- Practice address
- 375 S 11TH St
Clinton, IN 47842-1053 - Phone
- (765) 832-2491
- NPI assigned
- Dec 16, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06003867A | IN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06003867A | IN | Yes |
Addresses
Primary practice location
375 S 11TH St
Clinton, IN 47842-1053
Mailing address
4881 E Brentwood Ave
Terre Haute, IN 47805-9791
Phone (812) 249-9665
Other providers in Clinton, IN
- Illiana EMS, Inc.
- Indiana Hearing LLC
- Penny Jackson
- Brooke N Janes
- Nicole Lee Jeffries
- Donna Marie Jones
- Roger E Jones
- Alexis Louise Joyner
- Jeanie Mae Kent
- Donna Marie Kerns
All providers in Clinton, IN · Physical Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.