Alissa Marie Johnson, PTA
Individual provider Active NPI Physical Therapy Assistant · Marshfield, MO
NPI 1427369719 · NPPES record last updated Jul 1, 2010
Key facts
- NPI
- 1427369719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2002000097 (MO)
- Practice address
- 800 S White Oak Rd
Marshfield, MO 65706-2231 - Phone
- (417) 859-3701
- NPI assigned
- Jul 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 2002000097 | MO | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2002000097 | MO | Yes |
Addresses
Primary practice location
800 S White Oak Rd
Marshfield, MO 65706-2231
Mailing address
800 S White Oak Rd
Marshfield, MO 65706-2231
Phone (417) 859-3701
Other providers in Marshfield, MO
- Tara Kay Isringhausen-Thomas
- Jenni Catron, LPC, LLC
- Curtis Dean Jensen
- Brooke A Jochens
- John Quinn
- Christopher Michael Johnson
- Elizabeth Fae Johnston
- Chelsea R Joy
- Kansas City Vamc
- William Kelly
All providers in Marshfield, MO · Physical Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2010. 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.