Patti B Johnson, MPT
Individual provider Active NPI Physical Therapist · Morgan, UT
NPI 1083989941 · NPPES record last updated Jan 3, 2019
Key facts
- NPI
- 1083989941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 119811-2401 (UT)
- Practice address
- 742 S Highway 66
Morgan, UT 84050-9555 - Phone
- (661) 537-3663
- NPI assigned
- Mar 12, 2012
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 119811-2401 | UT | Yes |
Addresses
Primary practice location
742 S Highway 66
Morgan, UT 84050-9555
Mailing address
742 S Highway 66
Morgan, UT 84050-9555
Phone (661) 537-3663
Other providers in Morgan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2019. 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.