Joanna Bushnell

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2092128 Issued in TX

Practice address

190 N Preston Rd
Prosper, TX 75078-9875

Phone

(913) 284-6480

NPI assigned

Aug 29, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Joanna Wall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1245119643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 LIVINGSTON DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N PRESTON RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789875",
            "telephone_number": "913-284-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHNELL",
        "first_name": "JOANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2092128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "WALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kylie Marie Bunner, NP-C
• Pamela Garza Burg, MD
• Tiffaney Elizabeth Burg, REGISTERED NURSE
• Kyra Ioanna Burris
• Jameela Yasmin Burton
• Kristy Ruthann Bybee, DO
• Giovanni Eliseo Gianpietro Calarco
• Chevonda Callender Allen, MA, LPC-S, NCC
• Damian Campbell, DO
• Tanya L Campbell, LCSW

• Physical Therapy Assistant in Prosper, TX
• Providers in Prosper, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.