Abigail Johnson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1802-019 Issued in WI

Practice address

2305 San Luis PL
Green Bay, WI 54304-5211

Phone

(920) 494-5231

NPI assigned

Nov 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1801172010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 W POINT RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543135219",
            "telephone_number": "920-471-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 SAN LUIS PL",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045211",
            "telephone_number": "920-494-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ABIGAIL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1802-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Johnsen, PHARMD
• Johnson Counseling LLC
• Patricia J Johnson-Haney, CSAC, LCSW
• Kathleen Johnson-Schauer, MSW
• Abigail Johnson
• Abigail Kristine Johnson, OT
• Anna Johnson
• Brian C Johnson, M.D.
• Brian L Johnson, MD
• Brittney R. Johnson, SAC-IT

• Physical Therapy Assistant in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.