Dana Plauche Johnson

Individual provider Active NPI Physical Therapy Assistant · Peachtree City, GA

NPI 1336899327 · NPPES record last updated Mar 24, 2022

Key facts

NPI
1336899327
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA004845 (GA)
Practice address
1000 Commerce Dr Ste 200
Peachtree City, GA 30269-3520
Phone
(770) 740-1860
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA004845GAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Milton Hall Surgical Associates, LLC Past
since Mar 27, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA004845 GA Yes

Addresses

Primary practice location

1000 Commerce Dr Ste 200
Peachtree City, GA 30269-3520

Mailing address

PO Box 20996
Belfast, ME 04915-4106

Other providers in Peachtree City, GA

All providers in Peachtree City, GA · Physical Therapy Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.